Organization Active NPI

King Pharmacy Inc

  • Community/Retail Pharmacy
  • Hazard, KY
National Provider Identifier
1003858812
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07068 Issued in KY
Legal business name
KING PHARMACY INC
Practice address
900 Morton Blvd
Hazard, KY 41701-9476
Phone
(606) 435-1067
Fax
(606) 435-1073
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie King, PHARM D
Title
Pic President
Phone
(606) 435-1067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07068 KY Primary

Addresses

Primary practice location

900 Morton Blvd
Hazard, KY 41701-9476

Mailing address

900 Morton Blvd
Hazard, KY 41701-9476
Phone (606) 435-1067

Other identifiers 2

IdentifierTypeStateIssuer
2034340OtherPK
54010939MedicaidKY

Other names 1

  • KING PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1003858812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019476",
            "telephone_number": "606-435-1067",
            "fax_number": "606-435-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019476",
            "telephone_number": "606-435-1067",
            "fax_number": "606-435-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PIC PRESIDENT",
        "authorized_official_telephone_number": "606-435-1067",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034340",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54010939",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KING PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.