Healthcare Provider Details

I. General information

NPI: 1003408022
Provider Name (Legal Business Name): NATHAN JAMES HUGHES RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 N 12TH ST
MURRAY KY
42071-1666
US

IV. Provider business mailing address

808 N 12TH ST
MURRAY KY
42071-1666
US

V. Phone/Fax

Practice location:
  • Phone: 270-759-1288
  • Fax: 270-759-1310
Mailing address:
  • Phone: 270-759-1288
  • Fax: 270-759-1310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number020998
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: