Active NPI
Vicky Lynn Pulliam, RPH
- Pharmacist
- Bardstown, KY
National Provider Identifier
1982601928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8452
- Practice address
- 202 W Stephen Foster Ave
Bardstown, KY 40004-1472 - Phone
- (502) 348-6623
- Fax
- (502) 348-7704
- NPI assigned
- Jul 6, 2005
- 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 | 8452 | KY | Primary |
Addresses
Primary practice location
202 W Stephen Foster Ave
Bardstown, KY 40004-1472
Mailing address
202 W Stephen Foster Ave
Bardstown, KY 40004-1472
Phone (502) 348-6623
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 |
|---|---|---|---|
| 8452 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982601928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W STEPHEN FOSTER AVE",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041472",
"telephone_number": "502-348-6623",
"fax_number": "502-348-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W STEPHEN FOSTER AVE",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041472",
"telephone_number": "502-348-6623",
"fax_number": "502-348-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLIAM",
"first_name": "VICKY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "8452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.