US 25W Pharmacy Inc

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

P07323 Issued in KY

Legal business name

US 25W PHARMACY INC

Doing business as

US 25W Pharmacy Inc

Practice address

1610 Cumberland Falls Hwy
Ste 9
Corbin, KY 40701-2777

Phone

(606) 258-7024

Fax

(606) 258-7098

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Larry Kenneth

Title

Pharmacy Manager

Phone

(606) 258-7024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• US 25W Pharmacy Inc Doing business as

Locations

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1205077401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CUMBERLAND FALLS HWY",
            "address_2": "STE 9",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 CUMBERLAND FALLS HWY",
            "address_2": "STE 9",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012777",
            "telephone_number": "606-258-7024",
            "fax_number": "606-258-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US 25W PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "KENNETH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "606-258-7024"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "KY",
            "license": "P07323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1831115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US 25W Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Lane Ulrich
• Natasha Underwood, PA-C
• Derik Unthank, BSW
• Regina Upchurch, PHARMD
• Upperline Healthcare PC
• Abdi Vaezy, MD
• Samantha Latasha Valentine, BA
• Anita Gail Vance
• Jack Bryan Vance Sr., BA
• Summer Lynn Vandy, LPCC, NCC

• Mail Order Pharmacy in Corbin, KY
• Providers in Corbin, KY by specialty
• Mail Order Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.