NPIMap

Organization Active NPI

Apothecare Pharmacy of Elizabethtown P S C

Doing business as Apothecare Pharmacy of Elizabethtown

  • Long Term Care Pharmacy
  • Elizabethtown, KY
National Provider Identifier
1083069728
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
P06320 Issued in KY
Legal business name
APOTHECARE PHARMACY OF ELIZABETHTOWN P S C
Doing business as
Apothecare Pharmacy of Elizabethtown
Practice address
1239 Woodland Dr Ste 102
Suite 102
Elizabethtown, KY 42701-2770
Phone
(270) 739-0303
Fax
(270) 234-0101
NPI assigned
May 2, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Gary HammNPI 1679600118
Title
President
Phone
(270) 739-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X P06320 KY Primary

Addresses

Primary practice location

1239 Woodland Dr Ste 102
Suite 102
Elizabethtown, KY 42701-2770

Mailing address

1239 Woodland Dr
Suite 102
Elizabethtown, KY 42701-2770
Phone (270) 739-0303

Other names 1

  • APOTHECARE PHARMACY OF ELIZABETHTOWN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apothecare Pharmacy II at Cardinal2 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.

Locations

1239 Woodland Dr
Ste 102
Elizabethtown, KY 42701
Phone (270) 739-0303

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1083069728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 WOODLAND DR",
            "address_2": "SUITE 102",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012770",
            "telephone_number": "270-739-0303",
            "fax_number": "270-234-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 WOODLAND DR STE 102",
            "address_2": "SUITE 102",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012770",
            "telephone_number": "270-739-0303",
            "fax_number": "270-234-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARE PHARMACY OF ELIZABETHTOWN P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-739-0303"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P06320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOTHECARE PHARMACY OF ELIZABETHTOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.