Organization Active NPI

Betsy Layne Pharmacy Inc

  • Community/Retail Pharmacy
  • Betsy Layne, KY
National Provider Identifier
1164558912
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07641 Issued in KY
Legal business name
BETSY LAYNE PHARMACY INC
Practice address
11155 US Hwy 23 S
Betsy Layne, KY 41605-4160
Phone
(606) 478-9474
Fax
(606) 478-1000
NPI assigned
Feb 26, 2007
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Mr. Jody Holland, RPH
Title
Owner President
Phone
(606) 478-9474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P07641 KY Primary

Addresses

Primary practice location

11155 US Hwy 23 S
Betsy Layne, KY 41605-4160

Mailing address

PO Box 2159
Pikeville, KY 41502-2159
Phone (606) 478-9474

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jvholland@mikrotec.com
Direct Messaging Address jvholland@mikrotec.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jvholland@mikrotec.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1164558912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2159",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022159",
            "telephone_number": "606-478-9474",
            "fax_number": "606-478-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 US HWY 23 S",
            "city": "BETSY LAYNE",
            "state": "KY",
            "postal_code": "416054160",
            "telephone_number": "606-478-9474",
            "fax_number": "606-478-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY LAYNE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "606-478-9474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvholland@mikrotec.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "11155 US Hwy 23 S",
            "city": "Betsy Layne",
            "state": "KY",
            "country_code": "US",
            "postal_code": "416054160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvholland@mikrotec.com",
            "affiliation": "N",
            "endpointDescription": "jvholland@mikrotec.com",
            "address_1": "11155 US Hwy 23 S",
            "city": "Betsy Layne",
            "state": "KY",
            "country_code": "US",
            "postal_code": "41605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Betsy Layne, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.