Kentucky HC LLC
Organization Active NPI Community/Retail Pharmacy · Kimper, KY
NPI 1255354239 · NPPES record last updated Feb 21, 2013
Key facts
- NPI
- 1255354239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07103 (KY)
- Legal business name
- KENTUCKY HC LLC
- Practice address
- 51 Upper Johns Creek Rd
Kimper, KY 41539 - Phone
- (606) 631-3327
- Fax
- (606) 631-3320
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Joel Thornbury, RPH
- Title
- Member
- Phone
- (606) 432-2274
Practitioners 1
-
Joel C Thornbury, RPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07103 | KY | Yes |
Addresses
Primary practice location
51 Upper Johns Creek Rd
Kimper, KY 41539
Mailing address
PO Box 763
Grundy, VA 24614-0763
Phone (276) 935-4777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1829413 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 54011564 | Medicaid | KY |
Other names
- KIMPER PHARMACY
Other providers in Kimper, KY
- Arlene F Chapman
- Lisa Jo Justice
- Kimper Pharmacy Inc
- People First Case Management Services, LLC
- Katelyn Pinion
- Brandy Thacker
- Stacie L Weddington
All providers in Kimper, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2013. 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.