Clarkson Drug Store, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

P00450 Issued in KY

Legal business name

CLARKSON DRUG STORE, INC.

Doing business as

Clarkson Drug Store

Practice address

201 Millerstown St.
Clarkson, KY 42726-0146

Phone

(270) 242-3811

Fax

(270) 242-4171

NPI assigned

Sep 28, 2006

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James William Marshall, RPHNPI 1740302041

Title

President

Phone

(270) 242-3811

Specialties & licenses 2

Addresses

Other names 1

• Clarkson Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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.

• James William Marshall, RPH

  • Pharmacist
  • Clarkson, KY
  • NPI 1740302041
  NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1174615124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "CLARKSON",
            "state": "KY",
            "postal_code": "427260146",
            "telephone_number": "270-242-3811",
            "fax_number": "270-242-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MILLERSTOWN ST.",
            "city": "CLARKSON",
            "state": "KY",
            "postal_code": "427260146",
            "telephone_number": "270-242-3811",
            "fax_number": "270-242-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-242-3811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P00450",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P00450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkson Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Bratcher, APRN
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• Mahalie Cain
• Clarkson Clinic, PLLC
• Clarkson Diabetic Shoes & More, LLC
• Jessica Lane Clemons, MSW, LCSW
• Mark Evan Demuth, D.O.
• Everlasting Arms Family Counseling Center, LLC
• Bernice Marie Felli
• Kathryn Dianah Goff

• Pharmacy in Clarkson, KY
• Providers in Clarkson, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.