Individual provider Active NPI

Wanda Kathleen Salyer, RPH

  • Pharmacist
  • Prestonsburg, KY
National Provider Identifier
1821085697
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9977 Issued in KY
Practice address
128 N Lake Dr
Prestonsburg, KY 41653-1270
Phone
(606) 886-8106
Fax
(606) 886-8148
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9977 KY Primary
Pharmacist 183500000X 16277 GA

Addresses

Primary practice location

128 N Lake Dr
Prestonsburg, KY 41653-1270

Mailing address

1021 Ky Route 689
Flatgap, KY 41219-9502

Other names 1

  • Kathy Salyer Other 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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Apothecary Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1821085697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 KY ROUTE 689",
            "city": "FLATGAP",
            "state": "KY",
            "postal_code": "412199502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531270",
            "telephone_number": "606-886-8106",
            "fax_number": "606-886-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYER",
        "first_name": "WANDA",
        "middle_name": "KATHLEEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "9977",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "16277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SALYER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.