Active NPI
David Collins
- Pharmacist
- Paducah, KY
National Provider Identifier
1023422706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0083389
- Practice address
- 125 S 20TH St
Paducah, KY 42001 - Phone
- (270) 575-3247
- Fax
- (270) 442-7335
- NPI assigned
- Jun 20, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 0083389 | KY | Primary |
Addresses
Primary practice location
125 S 20TH St
Paducah, KY 42001
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0083389 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1023422706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534",
"fax_number": "870-347-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S 20TH ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001",
"telephone_number": "270-575-3247",
"fax_number": "270-442-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-20",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "0083389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.