Manchester Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MANCHESTER PHARMACY LLC

Practice address

359 Old US Highway 421
Manchester, KY 40962-7538

Phone

(859) 234-5600

Fax

(859) 234-5606

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Michael Ingram

Title

Owner

Phone

(859) 588-2932

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Manchester Pharmacy LLC Doing business as

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1134559768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 OLD US HIGHWAY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627538",
            "telephone_number": "859-234-5600",
            "fax_number": "859-234-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 OLD US HIGHWAY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627538",
            "telephone_number": "859-234-5600",
            "fax_number": "859-234-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-588-2932"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchester Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Manchester Pharmacist Group LLC
• Manchester Prescription Center, LLC
• Manchester SNF Operations LLC
• Laura E Manns-James, CNM
• Manps LLC
• Carol Renee Marcum

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.