Active NPI
Michael Allen Ingram, PHARM.D
- Pharmacist
- Cynthiana, KY
National Provider Identifier
1942498027
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jun 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12980
- Practice address
- 1134 US Highway 27 S
Cynthiana, KY 41031-4177 - Phone
- (859) 234-5600
- Fax
- (859) 234-5606
- NPI assigned
- Oct 14, 2007
- Last updated
- Jun 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12980 | KY | Primary |
Addresses
Primary practice location
1134 US Highway 27 S
Cynthiana, KY 41031-4177
Mailing address
1134 US Highway 27 S
Cynthiana, KY 41031-4177
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12980 | KY | MD | Pharmacist |
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Cynthiana, KY
- NPI 1700286598
-
- Pharmacy
- Cynthiana, KY
- NPI 1659671428
-
dba Hometown Pharmacy
- Pharmacy
- Georgetown, KY
- NPI 1730329277
-
- Community/Retail Pharmacy
- Manchester, KY
- NPI 1134559768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1942498027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 US HIGHWAY 27 S",
"city": "CYNTHIANA",
"state": "KY",
"postal_code": "410314177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 US HIGHWAY 27 S",
"city": "CYNTHIANA",
"state": "KY",
"postal_code": "410314177",
"telephone_number": "859-234-5600",
"fax_number": "859-234-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "MICHAEL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-14",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "12980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cynthiana, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.