Lewisport Drugs Inc

Key facts

NPI

1194862268

Entity type

Organization (NPI type 2)

Primary specialty

Local Education Agency (LEA) 251300000X

License

P01857 (KY)

Legal business name

LEWISPORT DRUGS INC

Practice address

8525 US Highway 60 W
Lewisport, KY 42351-7214

Phone

(270) 295-3356

Fax

(270) 295-3055

NPI assigned

Jan 30, 2007

Organization subpart

No

Authorized official

Name

Mr. Joel S White, RPH

Title

Owner Pharmacist

Phone

(270) 295-3356

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ward, RPH Pharmacist · Lewisport, KY · NPI 1407111354
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 25, 2007.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1194862268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 US HIGHWAY 60",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "42351",
            "telephone_number": "270-295-3356",
            "fax_number": "270-295-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 US HIGHWAY 60 W",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423517214",
            "telephone_number": "270-295-3356",
            "fax_number": "270-295-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISPORT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "270-295-3356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "KY",
            "license": "P01857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lewisport, KY · Local Education Agency (LEA) in Kentucky