Mikayla Shea Simpson
Individual provider Active NPI Pharmacist · Catlettsburg, KY
NPI 1477033355 · NPPES record last updated Aug 20, 2018
Key facts
- NPI
- 1477033355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 020095 (KY)
- Practice address
- 3501 Court St
Catlettsburg, KY 41129-1011 - Phone
- (606) 739-4432
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020095 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020095 | KY | Yes |
Addresses
Primary practice location
3501 Court St
Catlettsburg, KY 41129-1011
Mailing address
4359 State Route 141
Ironton, OH 45638-8769
Phone (606) 615-5545
Other practice location 1
100 S Carol Malone Blvd
Grayson, KY 41143-1352
Phone (606) 474-4470
Other practice location 2
933 Blackburn Ave
Ashland, KY 41101-4503
Phone (606) 324-0372
Other providers in Catlettsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.