Organization Active NPI

Winchester Pharmacy LLC

  • Community/Retail Pharmacy
  • Winchester, KY
National Provider Identifier
1194715359
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Feb 22, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54007869MedicaidKYKENTUCKY MEDICAID #
1828550OtherNCPDP NUMBER

Other names 1

  • Clark County Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.