NPIMap

Organization Active NPI

Our Lady of Bellefonte Hospital Inc

Doing business as Medical Plaza Pharmacy

  • Community/Retail Pharmacy
  • Ashland, KY
National Provider Identifier
1073534731
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06527 Issued in KY
Legal business name
OUR LADY OF BELLEFONTE HOSPITAL INC
Doing business as
Medical Plaza Pharmacy
Practice address
700 Saint Christopher Dr
Ashland, KY 41101-7062
Phone
(606) 833-3510
Fax
(606) 833-3624
NPI assigned
Jul 21, 2006
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Janci Murray, RPH
Title
Pharmacist
Phone
(606) 833-3510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P06527 KY Primary

Addresses

Primary practice location

700 Saint Christopher Dr
Ashland, KY 41101-7062

Mailing address

700 Saint Christopher Dr
Ashland, KY 41101-7062
Phone (606) 833-3510

Other identifiers 2

IdentifierTypeStateIssuer
2030543OtherPK
54019252MedicaidKY

Other names 1

  • MEDICAL PLAZA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cannosburg Outreach Ctr5 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1073534731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017062",
            "telephone_number": "606-833-3510",
            "fax_number": "606-833-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017062",
            "telephone_number": "606-833-3510",
            "fax_number": "606-833-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF BELLEFONTE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JANCI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-833-3510",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54019252",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.