Active NPI
Paradise Enterprises LLC
- Community/Retail Pharmacy
- Louisa, KY
National Provider Identifier
1053331967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P06786
- Legal business name
- PARADISE ENTERPRISES LLC
- Doing business as
- Town Hill Pharmacy
- Practice address
- 115 Town Hill Road
Suite 19
Louisa, KY 41230 - Phone
- (606) 638-0370
- Fax
- (606) 638-0111
- NPI assigned
- Jul 20, 2006
- 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
- Mr. James White
- Title
- Owner
- Phone
- (606) 638-0370
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | KY | ||
| Community/Retail Pharmacy | 3336C0003X | P06786 | KY | Primary |
Addresses
Primary practice location
115 Town Hill Road
Suite 19
Louisa, KY 41230
Mailing address
100 Paradise LN
Morehead, KY 40351-7545
Phone (606) 638-0370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1827508 | Other | KY | NABP NUMBER |
| 54003645 | Medicaid | KY |
Other names 1
- Town Hill Pharmacy
National Provider Directory
National Provider DirectoryLocations
115 Town Hill Rd
#19
Louisa, KY 41230
Phone (606) 638-0370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231113600000",
"number": "1053331967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARADISE LN",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403517545",
"telephone_number": "606-638-0370",
"fax_number": "606-638-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TOWN HILL ROAD",
"address_2": "SUITE 19",
"city": "LOUISA",
"state": "KY",
"postal_code": "41230",
"telephone_number": "606-638-0370",
"fax_number": "606-638-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2009-01-05",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-638-0370",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P06786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "1827508",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54003645",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Town Hill Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.