Organization Active NPI

Paradise Enterprises LLC

  • Community/Retail Pharmacy
  • Louisa, KY
National Provider Identifier
1053331967
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06786 Issued in KY
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

Updated by the provider on Jan 5, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1827508OtherKYNABP NUMBER
54003645MedicaidKY

Other names 1

  • Town Hill Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.