Active NPI
Prestonsburg Pharmacist Group LLC
- Community/Retail Pharmacy
- Prestonsburg, KY
National Provider Identifier
1215416599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PRESTONSBURG PHARMACIST GROUP LLC
- Doing business as
- Archer Clinic Pharmacy
- Practice address
- 400 University Dr Ste 100
Prestonsburg, KY 41653-1080 - Phone
- (606) 886-1202
- NPI assigned
- Aug 8, 2018
- 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
- Justin Bell
- Title
- Owner
- Phone
- (859) 402-4853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
400 University Dr Ste 100
Prestonsburg, KY 41653-1080
Mailing address
1002 S Broadway St Ste 7
Georgetown, KY 40324-1463
Phone (859) 402-4853
Other names 1
- Archer Clinic Pharmacy
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Compounding Pharmacy
- Prestonsburg, KY
- NPI 1538174172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533686400000",
"number": "1215416599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S BROADWAY ST STE 7",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403241463",
"telephone_number": "859-402-4853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 UNIVERSITY DR STE 100",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531080",
"telephone_number": "606-886-1202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTONSBURG PHARMACIST GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-402-4853"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Archer Clinic Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.