Active NPI
Clay West, R.PH.
- Pharmacist
- Ashland, KY
National Provider Identifier
1013210699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010901
- Practice address
- 370 Diederich Blvd
Ashland, KY 41101-7008 - Phone
- (606) 325-0611
- Fax
- (606) 326-1021
- NPI assigned
- Dec 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010901 | KY | Primary |
Addresses
Primary practice location
370 Diederich Blvd
Ashland, KY 41101-7008
Mailing address
7058 Applewood Dr
Catlettsburg, KY 41129-9278
Phone (606) 739-9357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010901 | Other | KY | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010901 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
-
- Community/Retail Pharmacy
- Ashland, KY
- NPI 1417972191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1013210699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7058 APPLEWOOD DR",
"city": "CATLETTSBURG",
"state": "KY",
"postal_code": "411299278",
"telephone_number": "606-739-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 DIEDERICH BLVD",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017008",
"telephone_number": "606-325-0611",
"fax_number": "606-326-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "CLAY",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-21",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "010901",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.