Active NPI
Knox Professional Pharmacy Inc
- Community/Retail Pharmacy
- Barbourville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P01088
- Legal business name
- KNOX PROFESSIONAL PHARMACY INC
- Practice address
- 511 Knox St
Barbourville, KY 40906-1330 - Phone
- (606) 546-3171
- Fax
- (606) 546-5022
- NPI assigned
- Jun 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Hammons, RPH
- Title
- Owner
- Phone
- (606) 546-3171
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P01088 | KY | Primary |
Addresses
Primary practice location
511 Knox St
Barbourville, KY 40906-1330
Mailing address
511 Knox St
Barbourville, KY 40906-1330
Phone (606) 546-3171
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2029231 | Other | PK | |
| 7100176380 | Medicaid | KY | |
| 7100176370 | Medicaid | KY |
Other names 1
- KNOX PROFESSIONAL PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051104000590 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092733303 | Practice locations: Barbourville, KY |
| O20100930039120 | KY | DME Supplier - Pharmacy | 5092733303 | Practice locations: Barbourville, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1053556 | Knox Professional Pharmacy | Certificate of waiver | Apr 26, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Knox Professional Pharmacy Inc | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Whee… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
511 Knox St
Barbourville, KY 40906
Phone (606) 546-3171
419 Knox St
Barbourville, KY 40906
Phone (606) 546-3171
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Barbourville, KY
- NPI 1447254842
-
- Pharmacist
- Barbourville, KY
- NPI 1073899688
-
- Pharmacist
- Barbourville, KY
- NPI 1629066048
-
- Pharmacist
- Barbourville, KY
- NPI 1386148278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480550400000",
"number": "1003810490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 KNOX ST",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061330",
"telephone_number": "606-546-3171",
"fax_number": "606-546-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 KNOX ST",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061330",
"telephone_number": "606-546-3171",
"fax_number": "606-546-5022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX PROFESSIONAL PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2016-12-01",
"status": "A",
"authorized_official_last_name": "HAMMONS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-546-3171",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P01088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2029231",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100176380",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100176370",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KNOX PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.