Provider Type Icon

GOFORTH PHARMACY LLC NPI 1356532352


NPI Information

NPI: 1356532352
Provider Name: GOFORTH PHARMACY LLC

Doing Business As: HOMETOWN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
406 BOGLE ST
SOMERSET, KY
ZIP 42503
Phone: (606) 677-1062
Get Directions

GOFORTH PHARMACY LLC is a community/retail pharmacy pharmacy in Somerset, KY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GOFORTH PHARMACY LLC NPI is 1356532352. The provider is registered as an organization entity type.
The provider Is Doing Business As Hometown Pharmacy.

The provider's business location address is:

406 BOGLE ST
SOMERSET, KY
ZIP 42503
Phone: (606) 677-1062
Fax: (606) 677-1182

The provider's authorized official is Robert Goforth .
The authorized official title is President and has the following contact phone number (606) 305-1321.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyP07201KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100025300MEDICAIDKENTUCKY
27100004180MEDICAIDKENTUCKY
31830288OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
45983970001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.