Active NPI
Jill Popham, PHARMD
- Pharmacist
- Ft Wright, KY
National Provider Identifier
1730801077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011868
- Practice address
- 1825 Dixie Hwy
Ft Wright, KY 41011-2698 - Phone
- (859) 331-0370
- NPI assigned
- Sep 14, 2022
- Last updated
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011868 | KY | Primary |
Addresses
Primary practice location
1825 Dixie Hwy
Ft Wright, KY 41011-2698
Mailing address
1825 Dixie Hwy
Ft Wright, KY 41011-2698
Phone (859) 331-0370
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 |
|---|---|---|---|
| 011868 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1825 Dixie Hwy
Ft Wright, KY 41011
Phone (859) 331-0370
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1730801077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 DIXIE HWY",
"city": "FT WRIGHT",
"state": "KY",
"postal_code": "410112698",
"telephone_number": "859-331-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 DIXIE HWY",
"city": "FT WRIGHT",
"state": "KY",
"postal_code": "410112698",
"telephone_number": "859-331-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPHAM",
"first_name": "JILL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Wright, KY
- Orthocincy Orthopaedics & Sports Medicine
- Elizabeth Ann Papas
- Passport Health Holdings, LLC (Passport Health)
- Pediatric Partners of Northern Kentucky
- Pediatric Partners of Northern Kentucky
- Laura Powers
- Premise Health of Kentucky Medical PSC (Madison Pike - Ft Wright)
- Ranier Physical Therapy, PLLC
- Augusta Malin Rawlins-Rader, MD
- Timothy Earl Raymond, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.