Smith Pharmacy Inc
Organization Active NPI Pharmacist · Burkesville, KY
NPI 1154314672 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154314672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- P06686 (KY)
- Legal business name
- SMITH PHARMACY INC
- Practice address
- 20 Courthouse Square
Burkesville, KY 42717 - Phone
- (270) 864-2231
- Fax
- (270) 864-2299
- NPI assigned
- Aug 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Wendell D Butler, RPH
- Title
- Pharmacist Owner
- Phone
- (270) 864-2231
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | P06686 | KY | Yes |
Addresses
Primary practice location
20 Courthouse Square
Burkesville, KY 42717
Mailing address
PO Box 247
Burkesville, KY 42717-0247
Phone (270) 864-2231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54001375 | Medicaid | KY |
Other providers in Burkesville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.