Active NPI
Town and Country Pharmacy Inc.
- Community/Retail Pharmacy
- Glasgow, KY
National Provider Identifier
1245744630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07863
- Legal business name
- TOWN AND COUNTRY PHARMACY INC.
- Practice address
- 736 East Main Street
Glasgow, KY 42141 - Phone
- (270) 629-4633
- NPI assigned
- Nov 22, 2017
- 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
- Johnie Paul Nixon
- Title
- Pharmacist in Charge
- Phone
- (270) 407-3434
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07863 | KY | Primary |
Addresses
Primary practice location
736 East Main Street
Glasgow, KY 42141
Mailing address
736 East Main Street
Glasgow, KY 42141-7804
Phone (270) 407-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180129000441 | KY | DME Supplier - Pharmacy | 8729348453 | Practice locations: Glasgow, KY |
| O20190604002445 | KY | Part B Supplier - Pharmacy | 8729348453 | Practice locations: Glasgow, KY |
National Provider Directory
National Provider DirectoryLocations
736 E Main St
Glasgow, KY 42141
Phone (270) 629-4633
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Glasgow, KY
- NPI 1770118994
-
- Pharmacist
- Tompkinsville, KY
- NPI 1801209598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652313600000",
"number": "1245744630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 EAST MAIN STREET",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421417804",
"telephone_number": "270-407-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 EAST MAIN STREET",
"city": "GLASGOW",
"state": "KY",
"postal_code": "42141",
"telephone_number": "270-629-4633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN AND COUNTRY PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-22",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A",
"authorized_official_last_name": "NIXON",
"authorized_official_first_name": "JOHNIE",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "270-407-3434"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P07863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.