Falls Road Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06831 Issued in KY

Legal business name

FALLS ROAD PHARMACY INC

Doing business as

FALLS ROAD PHARMACY

Practice address

40 Moonbow PLZ
Ste 1
Corbin, KY 40701-8982

Phone

(606) 258-0000

Fax

(606) 258-0002

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Eric Gibbs, RPH

Title

Owner / Pic

Phone

(606) 258-0000

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• FALLS ROAD PHARMACY Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1851432702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MOONBOW PLZ",
            "address_2": "STE 1",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018982",
            "telephone_number": "606-258-0000",
            "fax_number": "606-258-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MOONBOW PLZ",
            "address_2": "STE 1",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018982",
            "telephone_number": "606-258-0000",
            "fax_number": "606-258-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS ROAD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "606-258-0000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54004437",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1827700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FALLS ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Renee Evans, BS
• Meaghan Rebekah Evans, BA
• Brandon Curtis Eversole, BA
• Eye Centers of Southeast Kentucky PSC
• Kelly Jo Falkowski, BA
• Roxalana Falls
• Family First Family Health Center
• Family Health Care Associates Rural Clinic of Corbin PLLC
• Peggy Louise Fannon, MED
• Kristi Leigh Farley, PT DPT

• Community/Retail Pharmacy in Corbin, KY
• Providers in Corbin, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.