Organization Active NPI

Pharmacy-Center Inc

  • Community/Retail Pharmacy
  • Columbia, KY
National Provider Identifier
1104824424
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY-CENTER INC
Practice address
803 Burkesville St
Columbia, KY 42728-1655
Phone
(270) 384-2117
Fax
(270) 384-5636
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Brittain Cole Jackson, PHARMDNPI 1487900544
Title
Owner
Phone
(270) 250-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

803 Burkesville St
Columbia, KY 42728-1655

Mailing address

803 Burkesville St
Columbia, KY 42728-1655
Phone (270) 384-2117

Other identifiers 2

IdentifierTypeStateIssuer
90090010MedicaidKY
000000070102OtherKYDME

Other names 1

  • Columbia Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930039090 KY DME Supplier - Pharmacy 0143348474 Practice locations: Columbia, KY
O20200331001659 KY Part B Supplier - Pharmacy 0143348474 Practice locations: Columbia, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pharmacy-Center Inc803 Burkesville St, Columbia, KY 42728-1655(270) 384-2118 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

803 Burkesville St
Columbia, KY 42728
Phone (270) 318-3399

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1104824424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 BURKESVILLE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281655",
            "telephone_number": "270-384-2117",
            "fax_number": "270-384-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 BURKESVILLE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281655",
            "telephone_number": "270-384-2117",
            "fax_number": "270-384-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY-CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRITTAIN",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-250-9800",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90090010",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "000000070102",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.