Organization Active NPI

Gallaher'S Pharmacy Inc

  • Pharmacy
  • Ashland, KY
National Provider Identifier
1700946167
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P02373 Issued in KY
Legal business name
GALLAHER'S PHARMACY INC
Practice address
2914 Blackburn Ave
Ashland, KY 41101-4838
Phone
(606) 329-2122
Fax
(606) 329-8192
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Mrs. Sonya Lee Muncy, RPHNPI 1861552226
Title
President
Phone
(606) 329-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P02373 KY Primary

Addresses

Primary practice location

2914 Blackburn Ave
Ashland, KY 41101-4838

Mailing address

2914 Blackburn Ave
Ashland, KY 41101-4838
Phone (606) 329-2122

Other identifiers 2

IdentifierTypeStateIssuer
54027123MedicaidKY
P02373OtherKYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317001601 KY Part B Supplier - Mass Immunization (Roster Biller Only) 1254658941 Practice locations: Ashland, KY

National Provider Directory

National Provider Directory

Locations

2914 Blackburn Ave
Ashland, KY 41101
Phone (606) 329-2122

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1700946167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 BLACKBURN AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411014838",
            "telephone_number": "606-329-2122",
            "fax_number": "606-329-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 BLACKBURN AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411014838",
            "telephone_number": "606-329-2122",
            "fax_number": "606-329-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLAHER'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "MUNCY",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-329-2122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P02373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54027123",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P02373",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.