KB Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO7465 Issued in KY

Legal business name

KB PHARMACY

Practice address

320 S Main St
Marion, KY 42064-1513

Phone

(270) 967-9007

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Bradley Boone, PHARM DNPI 1215072020

Title

Member

Phone

(270) 967-9007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KB Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley A Boone, PHARM. D.

  • Pharmacist
  • Marion, KY
  • NPI 1215072020
  NPD Authorized official
• Michael L Keller, R.PH., PHARM.D.

  • Pharmacist
  • Salem, KY
  • NPI 1730275892
  NPD

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1023398443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "address_2": "PO BOX 437",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641513",
            "telephone_number": "270-967-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641513",
            "telephone_number": "270-967-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "270-967-9007",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO7465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PO7465",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KB Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KB Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Marion, KY
• Providers in Marion, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.