Organization
FALLS ROAD PHARMACY INC
Active
Organization
FALLS ROAD PHARMACY INC
Active
Other names
FALLS ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GIBBS RPH (OWNER / PIC)
(606) 258-0000
Entity
Organization
Contact information
Practice address
40 MOONBOW PLZ, STE 1, CORBIN, KY 40701-8982
(606) 258-0000
(606) 258-0002
Mailing address
40 MOONBOW PLZ, STE 1, CORBIN, KY 40701-8982
(606) 258-0000
(606) 258-0002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06831
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1827700
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54004437
—
KY
Enumeration date
02/12/2007
Last updated
06/07/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up