Active NPI
Gallaher'S Pharmacy Inc
- Pharmacy
- Ashland, KY
National Provider Identifier
1700946167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- P02373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sonya Lee Muncy, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54027123 | Medicaid | KY | |
| P02373 | Other | KY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150317001601 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254658941 | Practice locations: Ashland, KY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Ashland, KY
- NPI 1861552226
-
- Pharmacist
- Huntington, WV
- NPI 1417504200
-
- Pharmacist
- Ashland, KY
- NPI 1174683528
-
- Pharmacist
- Ashland, KY
- NPI 1679633697
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.