Big Sandy Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO2441 Issued in KY

Legal business name

BIG SANDY PHARMACY

Practice address

316 Main St
Paintsville, KY 41240-1044

Phone

(606) 789-5371

Fax

(606) 789-3227

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dan Salyer, RPH

Title

Pharmacist

Phone

(606) 789-5371

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1073773503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401044",
            "telephone_number": "606-789-5371",
            "fax_number": "606-789-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401044",
            "telephone_number": "606-789-5371",
            "fax_number": "606-789-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SANDY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "SALYER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-789-5371",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO2441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90160581",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BHG Lviii, LLC
• BHG Lviii, LLC
• BHG Xxiv, LLC
• Big Sandy Health Care Inc
• Big Sandy Health Care, Inc
• Big Sandy Pharmacy
• Big Sandy Pharmacy Inc
• Bio-Medical Applications of Kentucky, Inc.
• Krystal Brooke Blackmon-May, MSW, CSW
• Rano Solidum Bofill, MD

• All providers in Paintsville, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.