Active NPI
Optimum Care
- Pharmacist
- Kuttawa, KY
National Provider Identifier
1093012841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012996
- Legal business name
- OPTIMUM CARE
- Practice address
- 2367 State Route 93 N
Kuttawa, KY 42055-5880 - Phone
- (270) 625-9611
- Fax
- (270) 388-0279
- NPI assigned
- Feb 14, 2011
- Last updated
- Feb 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Vance, RPH, PHARM-D
- Title
- Chief Executive Officer
- Phone
- (270) 625-9611
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012996 | KY | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 012996 | KY |
Addresses
Primary practice location
2367 State Route 93 N
Kuttawa, KY 42055-5880
Mailing address
PO Box 22
Kuttawa, KY 42055-0022
Phone (270) 625-9611
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297641600000",
"number": "1093012841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22",
"city": "KUTTAWA",
"state": "KY",
"postal_code": "420550022",
"telephone_number": "270-625-9611",
"fax_number": "270-388-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2367 STATE ROUTE 93 N",
"city": "KUTTAWA",
"state": "KY",
"postal_code": "420555880",
"telephone_number": "270-625-9611",
"fax_number": "270-388-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A",
"authorized_official_last_name": "VANCE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "270-625-9611",
"authorized_official_credential": "RPH, PHARM-D"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012996",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "012996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kuttawa, KY
- Lyon Drug Store, Inc. (McConnell Health Mart (LTC))
- Thomas G McConnell, R.PH.
- New Life Treatment Center, LLP
- Teresa Ann Newman, RN
- Nna of Paducah, LLC (RCG Kuttawa)
- Nicole Brooke Payne, MOT, OTR/L
- RBRC, Inc. (Rivers Bend Retirement Community)
- Herbert Wayne Rice, RPH
- Elizabeth Scheidler, APRN
- Brittany Shingleton, APRN-CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.