Advance Care Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ADVANCE CARE PHARMACY PLLC

Doing business as

Advance Care Pharmacy

Practice address

25 Medpark Square Dr Ste 4
Somerset, KY 42503-1708

Phone

(606) 676-0199

Fax

(606) 451-7727

NPI assigned

May 4, 2021

Last updated

Nov 15, 2024By 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

Dr. Jody Dungan, PHARM.D.NPI 1043565708

Title

Pharmacist in Charge

Phone

(606) 676-0199

Specialties & licenses 2

Addresses

Other names 1

• Advance Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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.

• Jody Cooper Dungan

  • Pharmacist
  • Somerset, KY
  • NPI 1043565708
  NPD Authorized official
• Weston Dungan, PHARM.D.

  • Pharmacist
  • Somerset, KY
  • NPI 1902180599
  NPD

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1104409564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MEDPARK SQUARE DR STE 4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031708",
            "telephone_number": "606-676-0199",
            "fax_number": "606-451-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MEDPARK SQUARE DR STE 4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031708",
            "telephone_number": "606-676-0199",
            "fax_number": "606-451-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "DUNGAN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "606-676-0199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Somerset, KY
• Providers in Somerset, 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 Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.