Central City Clinic Pharmacy, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Central City, KY
NPI 1205967395 · NPPES record last updated Jul 24, 2008
Key facts
- NPI
- 1205967395
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CENTRAL CITY CLINIC PHARMACY, INC.
- Practice address
- 203 N 2ND St
Central City, KY 42330-1287 - Phone
- (270) 754-4300
- Fax
- (270) 754-9881
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Ann Gentry, RPH
- Title
- Secretary
- Phone
- (270) 754-4300
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Central City Clinic Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
203 N 2ND St
Central City, KY 42330-1287
Mailing address
203 N 2ND St
Central City, KY 42330-1287
Phone (270) 754-4300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1804031 | Other | KY | NABP |
| 0290230001 | Other | KY | MEDICARE |
| 90040890 | Medicaid | KY | |
| P00339 | Other | KY | STORE PERMIT # |
Other providers in Central City, KY
- C B Podiatric Services
- Brooke Michelle Cates
- Amanda S. Cecil
- Central City Chiropractic, PLLC
- Central City Clinic Pharmacy Inc
- Sonja M Collins
- Community Oxygen & Medical Equipment, Inc
- Holly Ann Courtney
- Destiny Shea Crick
- Cross Services, Inc
All providers in Central City, KY · Durable Medical Equipment & Medical Supplies in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.