NPIMap

Organization Active NPI

T J Samson Community Hospital

  • Community/Retail Pharmacy
  • Glasgow, KY
National Provider Identifier
1417195066
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05052 Issued in KY
Legal business name
T J SAMSON COMMUNITY HOSPITAL
Doing business as
T.J. Samson Community Hospital
Practice address
1301 N Race St
Glasgow, KY 42141-3454
Phone
(270) 651-4401
Fax
(270) 651-4607
NPI assigned
Feb 4, 2009
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Marr
Title
Director of Pharmacy
Phone
(270) 651-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P05052 KY Primary

Addresses

Primary practice location

1301 N Race St
Glasgow, KY 42141-3454

Mailing address

PO Box 645996
Cincinnati, OH 45264-5996
Phone (270) 651-4444

Other identifiers 1

IdentifierTypeStateIssuer
2118568OtherPK

Other names 1

  • T.J. Samson Community Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
T J Samson Community Hospital15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1417195066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645996",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452645996",
            "telephone_number": "270-651-4444",
            "fax_number": "270-651-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413454",
            "telephone_number": "270-651-4401",
            "fax_number": "270-651-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T J SAMSON COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "270-651-4334"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P05052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.J. Samson Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "T.J. Samson Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.