Active NPI
Donell's Tri-City Pharmacy
- Community/Retail Pharmacy
- Cumberland, KY
National Provider Identifier
1235642687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DONELL'S TRI-CITY PHARMACY
- Practice address
- 18880 N US Highway 119
Cumberland, KY 40823-8106 - Phone
- (606) 505-5133
- Fax
- (606) 573-4402
- NPI assigned
- Nov 8, 2017
- Last updated
- Nov 13, 2017
- Organization subpart
- Yes
- Parent organization
- DONELLS PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donell T Busroe, RPH
- Title
- Pharmacist/Owner
- Phone
- (606) 505-5133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | KY | Primary |
Addresses
Primary practice location
18880 N US Highway 119
Cumberland, KY 40823-8106
Mailing address
40 W Highway 72
Baxter, KY 40806-8384
Phone (606) 573-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P-07864 | Other | KY | KY BOARD OF PHARMACY PERMIT |
National Provider Directory
National Provider Directory- Part of
- Donells Pharmacy Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510531200000",
"number": "1235642687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W HIGHWAY 72",
"city": "BAXTER",
"state": "KY",
"postal_code": "408068384",
"telephone_number": "606-573-4550",
"fax_number": "606-573-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18880 N US HIGHWAY 119",
"city": "CUMBERLAND",
"state": "KY",
"postal_code": "408238106",
"telephone_number": "606-505-5133",
"fax_number": "606-573-4402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONELL'S TRI-CITY PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DONELLS PHARMACY INC",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-13",
"status": "A",
"authorized_official_last_name": "BUSROE",
"authorized_official_first_name": "DONELL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "606-505-5133",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY BOARD OF PHARMACY PERMIT",
"identifier": "P-07864",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.