Healthcare Provider Details

I. General information

NPI: 1568381671
Provider Name (Legal Business Name): LADONYA ALLISON BISHOP RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E MOUNT VERNON ST
SOMERSET KY
42501-1228
US

IV. Provider business mailing address

900 E MOUNT VERNON ST
SOMERSET KY
42501-1228
US

V. Phone/Fax

Practice location:
  • Phone: 606-679-9227
  • Fax: 606-679-1358
Mailing address:
  • Phone: 606-679-9227
  • Fax: 606-679-1358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number010844
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: