P C P Specialty LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

P07322 Issued in KY

Legal business name

P C P SPECIALTY LLC

Doing business as

P C P Specialty LLC

Practice address

104 Lawson Dr
Suite 101
Georgetown, KY 40324-8998

Phone

(502) 570-8660

Fax

(502) 570-8622

NPI assigned

Apr 10, 2009

Organization subpart

No

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

Authorized official

Name

Adam Sloan

Title

Owner/Director

Phone

(859) 907-4344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• P C P Specialty LLC Doing business as

Locations

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1154564821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LAWSON DR",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248998",
            "telephone_number": "502-570-8660",
            "fax_number": "859-570-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LAWSON DR",
            "address_2": "SUITE 101",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248998",
            "telephone_number": "502-570-8660",
            "fax_number": "502-570-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P C P SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "859-907-4344"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KY",
            "license": "P07322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1831204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P C P Specialty LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Specialty Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.