Individual provider Active NPI

Gregory Alan Luncan, RPH

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1578163705
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03320007 Issued in OH
Practice address
5375 N Bend Rd
Cincinnati, OH 45247-7601
Phone
(513) 661-8630
Fax
(513) 661-8637
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03320007 OH Primary

Addresses

Primary practice location

5375 N Bend Rd
Cincinnati, OH 45247-7601

Mailing address

5375 N Bend Rd
Cincinnati, OH 45247-7601
Phone (513) 661-8630

Other names 1

  • Gregory Alan Luncan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03320007OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1578163705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477601",
            "telephone_number": "513-661-8630",
            "fax_number": "513-661-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477601",
            "telephone_number": "513-661-8630",
            "fax_number": "513-661-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNCAN",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03320007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "LUNCAN",
            "middle_name": "ALAN",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.