GOFORTH PHARMACY LLC (NPI# 1356532352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356532352 |
| Entity Type | Organization |
| Organization Name | GOFORTH PHARMACY LLC |
| Other Organization Name | HOMETOWN PHARMACY |
| Practice Address |
406 Bogle St Somerset KY 42503 |
| Mailing Address |
406 Bogle St Somerset KY 42503-2840 |
| Practice Telephone | 6066771062 |
| Practice Fax Number | 6066771182 |
| Mailing Telephone | 6066771062 |
| Mailing Fax Number | 6066771182 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2009-08-19 |
| Authorized Official Name | ROBERT GOFORTH (PRESIDENT) |
| Authorized Official Telephone | 6063051321 |
| Authorized Official Credential | PHRMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07201 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100025300 | 05 | |
| KY | 7100004180 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1830288 | 01 |
| Other Name | Type Code |
|---|---|
| HOMETOWN PHARMACY | Doing Business As Name - Organization |
| Street Address |
406 BOGLE ST |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1376833970 | Medicine Shoppe Long Term Care | Pharmacy | 900 E Mount Vernon St Unit B, Somerset, KY 42501-1228 | 2011-04-15 |
| 1407027154 | Drug Fair Group, Inc. | Pharmacy | 800 Cottontail Ln, Somerset, NJ 08873-1227 | 2008-03-20 |
| 1437334109 | Bobrowski Industries Co | Pharmacy | 107 Parent St, Somerset, WI 54025-7439 | 2007-12-31 |
| 1144361569 | Century Pharmacy, Inc. | Pharmacy | 875 South Highway 27, Somerset, KY 42501 | 2007-02-09 |
| 1134212582 | Genmar.eb Inc. | Pharmacy | 131 S Pleasant Ave, Somerset, PA 15501-2189 | 2006-09-30 |
| 1154421584 | Cvs Pharmacy Inc | Pharmacy | 1587 Brayton Point Rd, Somerset, MA 02725 | 2006-09-25 |
| 1659474393 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 144 N Highway 27, Somerset, KY 42503-1732 | 2006-09-07 |
| 1730282583 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 110 S Pleasant Ave, Somerset, PA 15501-2193 | 2006-09-07 |
| 1598771263 | 3jb LLC | Pharmacy | 168 W Main St, Somerset, PA 15501-2038 | 2006-08-01 |
| Find all providers in SOMERSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.