Crofton Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07729 Issued in KY

Legal business name

CROFTON PHARMACY LLC

Doing business as

Crofton Pharmacy

Practice address

235 S Madisonville St
Crofton, KY 42217-8009

Phone

(270) 424-8965

Fax

(270) 424-8963

NPI assigned

Nov 30, 2006

Last updated

May 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeb Stewart, RPHNPI 1407130164

Title

Owner/Pharmacist

Phone

(270) 424-8965

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CROFTON PHARMACY Doing business as

Tax ID family

Crofton Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crofton Pharmacy, LLC

  dba Crofton Pharmacy

  • Pharmacy
  • Crofton, KY
  • NPI 1386019099
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeb Stewart, PHARMD

  • Pharmacist
  • Owensboro, KY
  • NPI 1407130164
  NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1063580066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S MADISONVILLE ST",
            "city": "CROFTON",
            "state": "KY",
            "postal_code": "422178009",
            "telephone_number": "270-424-8965",
            "fax_number": "270-424-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S MADISONVILLE ST",
            "city": "CROFTON",
            "state": "KY",
            "postal_code": "422178009",
            "telephone_number": "270-424-8965",
            "fax_number": "270-424-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROFTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JEB",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "270-424-8965",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100380160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROFTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CROFTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Danielle Champion, FNP
• Commonwealth Biomedical Research, LLC
• Crofton Clinic PSC
• Crofton Dental Center PLLC
• Crofton Elementary School
• Crofton Pharmacy, LLC (Crofton Pharmacy)
• Jerri Annette Fowler, SLP
• Marty E Gamble, DDS
• Jennie Stuart Medical Center Inc (Jennie Stuart Health Family Health Crofton RHC)
• Kirsten Myrick

• Community/Retail Pharmacy in Crofton, KY
• Providers in Crofton, 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 May 3, 2022; 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.