Organization Active NPI

Town and Country Pharmacy Inc.

  • Community/Retail Pharmacy
  • Glasgow, KY
National Provider Identifier
1245744630
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07863 Issued in KY
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

Updated by the provider on May 12, 2022

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)CodeLicenseStatePrimary
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 KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.