Parkway Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07488 Issued in KY

Legal business name

PARKWAY PHARMACY, INC.

Practice address

100 Brenna Blvd
Suite 200
Salyersville, KY 41465-9815

Phone

(606) 349-4400

Fax

(606) 349-4410

NPI assigned

Jan 13, 2012

Organization subpart

No

Name

Jesse Rudd

Title

Owner/President

Phone

(606) 226-4444

Locations

• Parkway Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2016.

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1124399738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414650008",
            "telephone_number": "606-349-4400",
            "fax_number": "606-349-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRENNA BLVD",
            "address_2": "SUITE 200",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659815",
            "telephone_number": "606-349-4400",
            "fax_number": "606-349-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "606-226-4444"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100193170",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Salyersville, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.