Whitehead Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06370 Issued in KY

Legal business name

WHITEHEAD DRUGS INC

Doing business as

WHITEHEAD DRUG STORE

Practice address

1502 S 7TH St
Louisville, KY 40208-1711

Phone

(502) 637-1489

Fax

(502) 637-8766

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Sherrie Hyman, RPH

Title

President

Phone

(502) 637-1489

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WHITEHEAD DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1154493542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S 7TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081711",
            "telephone_number": "502-637-1489",
            "fax_number": "502-637-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S 7TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081711",
            "telephone_number": "502-637-1489",
            "fax_number": "502-637-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHEAD DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-637-1489",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1802607",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54033568",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITEHEAD DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy White, TCADC
• Virginia Ann White, M.A, CF-SLP
• Zackary White
• Ashly Whited, RD
• William Whited Jr., M.D.
• Vivian L Whitehead, APRN
• Amy N Whitehouse, APRN
• Anca Georgiana Whitehouse, RN
• Kia Whitehurst
• Christine Cappelle Whitelaw, MD

• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, 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 10, 2011; 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.