Organization Active NPI

Jennie Stuart Medical Center Inc

  • Community/Retail Pharmacy
  • Hopkinsville, KY
National Provider Identifier
1154045144
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JENNIE STUART MEDICAL CENTER INC
Practice address
320 W 18TH St
Hopkinsville, KY 42240-1965
Phone
(270) 887-0636
Fax
(270) 887-0452
NPI assigned
Oct 3, 2022
Organization subpart
Yes
Parent organization
JENNIE STUART MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Autumn Bailey
Title
Director of PFS and Managed Care
Phone
(270) 887-0100

Specialties & licenses 1

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

Addresses

Primary practice location

320 W 18TH St
Hopkinsville, KY 42240-1965

Mailing address

PO Box 2400
Hopkinsville, KY 42241-2400
Phone (270) 887-0636

Other names 1

  • Jennie Stuart Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Jennie Stuart Medical C

Locations

320 W 18th St
Fl 1
Hopkinsville, KY 42240
Phone (270) 887-0636

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1154045144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422412400",
            "telephone_number": "270-887-0636",
            "fax_number": "270-887-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401965",
            "telephone_number": "270-887-0636",
            "fax_number": "270-887-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE STUART MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNIE STUART MEDICAL CENTER INC",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "DIRECTOR OF PFS AND MANAGED CARE",
        "authorized_official_telephone_number": "270-887-0100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennie Stuart Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.