Active NPI
Dustin F Salyer, PHARM.D.
- Pharmacist
- Bowling Green, KY
National Provider Identifier
1639491863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014456
- Practice address
- 2945 Scottsville Rd
Kmart Pharmacy
Bowling Green, KY 42104-6331 - Phone
- (270) 782-1481
- NPI assigned
- Feb 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 014456 | KY | Primary |
| Pharmacist | 183500000X | 33791 | TN |
Addresses
Primary practice location
2945 Scottsville Rd
Kmart Pharmacy
Bowling Green, KY 42104-6331
Mailing address
2945 Scottsville Rd
Kmart Pharmacy
Bowling Green, KY 42104-6331
Phone (270) 782-1481
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014456 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1639491863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 SCOTTSVILLE RD",
"address_2": "KMART PHARMACY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421046331",
"telephone_number": "270-782-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 SCOTTSVILLE RD",
"address_2": "KMART PHARMACY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421046331",
"telephone_number": "270-782-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALYER",
"first_name": "DUSTIN",
"middle_name": "F",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-15",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "014456",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.