NPIMap

Organization Active NPI

North Park Pharmacy, Inc

Doing business as North Park Pharmacy and Home Medical Equipment

  • Community/Retail Pharmacy
  • Owenton, KY
National Provider Identifier
1104924117
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO1363 Issued in KY
Legal business name
NORTH PARK PHARMACY, INC
Doing business as
North Park Pharmacy and Home Medical Equipment
Practice address
327 N Main St
Owenton, KY 40359-1409
Phone
(502) 484-3113
Fax
(502) 484-0141
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Matthew Cull, PHARM.D.NPI 1760595987
Title
Vice President
Phone
(502) 484-3113

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PO1363 KY Primary

Addresses

Primary practice location

327 N Main St
Owenton, KY 40359-1409

Mailing address

327 N Main St
Owenton, KY 40359-1409
Phone (502) 484-3113

Other identifiers 3

IdentifierTypeStateIssuer
90020942MedicaidKY
1812848OtherKYNCPDP NUMBER
54016514MedicaidKY

Other names 1

  • North Park Pharmacy and Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104924117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N MAIN ST",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403591409",
            "telephone_number": "502-484-3113",
            "fax_number": "502-484-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N MAIN ST",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403591409",
            "telephone_number": "502-484-3113",
            "fax_number": "502-484-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-484-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO1363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90020942",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1812848",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54016514",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Park Pharmacy and Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owenton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.