Parkway Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07488 Issued in KY

Legal business name

PARKWAY PHARMACY, INC.

Doing business as

Parkway Pharmacy

Practice address

100 Brenna Blvd
Suite 200
Salyersville, KY 41465-9815

Phone

(606) 349-4400

Fax

(606) 349-4410

NPI assigned

Jan 13, 2012

Last updated

Jun 27, 2016By 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

Jesse Rudd

Title

Owner/President

Phone

(606) 226-4444

Specialties & licenses 2

Addresses

Other names 1

• Parkway Pharmacy Doing business as

Locations

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Salyersville, KY
• Providers in Salyersville, 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 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.