Active NPI
James Allen Gish, R.PH.
- Pharmacist
- Grayson, KY
National Provider Identifier
1912591702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011488
- Practice address
- 100 S Carol Malone Blvd
Grayson, KY 41143-1352 - Phone
- (606) 474-4470
- NPI assigned
- Feb 23, 2021
- Last updated
- Feb 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03334427 | OH | |
| Pharmacist | 183500000X | 011488 | KY | Primary |
Addresses
Primary practice location
100 S Carol Malone Blvd
Grayson, KY 41143-1352
Mailing address
100 S Carol Malone Blvd
Grayson, KY 41143-1352
Phone (606) 474-4470
Other names 1
- Jimmy Gish
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011488 | KY | MD | Pharmacist |
| 03334427 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1912591702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S CAROL MALONE BLVD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431352",
"telephone_number": "606-474-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S CAROL MALONE BLVD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431352",
"telephone_number": "606-474-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GISH",
"first_name": "JAMES",
"middle_name": "ALLEN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03334427",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JIMMY",
"last_name": "GISH",
"credential": "R.PH.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.