Active NPI
Winchester Pharmacy LLC
- Community/Retail Pharmacy
- Winchester, KY
National Provider Identifier
1194715359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WINCHESTER PHARMACY LLC
- Practice address
- 716 Boone Avenue
Winchester, KY 40391 - Phone
- (859) 744-3350
- Fax
- (859) 744-3325
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Bell
- Title
- President
- Phone
- (859) 744-3350
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
716 Boone Avenue
Winchester, KY 40391
Mailing address
716 Boone Avenue
Winchester, KY 40391
Phone (859) 744-3350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54007869 | Medicaid | KY | KENTUCKY MEDICAID # |
| 1828550 | Other | NCPDP NUMBER |
Other names 1
- Clark County Pharmacy
National Provider Directory
National Provider DirectoryLocations
1520B Boonesboro Rd
Winchester, KY 40391
Phone (859) 744-3350
716 Boone Ave
Winchester, KY 40391
Phone (859) 227-9280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1194715359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 BOONE AVENUE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "40391",
"telephone_number": "859-744-3350",
"fax_number": "859-744-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 BOONE AVENUE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "40391",
"telephone_number": "859-744-3350",
"fax_number": "859-744-3325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINCHESTER PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-744-3350"
},
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": "KENTUCKY MEDICAID #",
"identifier": "54007869",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "1828550",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clark County Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Clark County Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.