Active NPI
CCPB
Doing business as Clinton County Pharmacy
- Community/Retail Pharmacy
- Albany, KY
National Provider Identifier
1275178576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CCPB
- Doing business as
- Clinton County Pharmacy
- Practice address
- 903 N Cross St
Albany, KY 42602-1617 - Phone
- (606) 387-0222
- Fax
- (606) 387-0032
- NPI assigned
- Nov 10, 2019
- Last updated
- Mar 10, 2021
- 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
- Dr. Robert Keeton Huff
- Title
- Pharmacist
- Phone
- (606) 688-3113
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
903 N Cross St
Albany, KY 42602-1617
Mailing address
998 Concord Rd
Albany, KY 42602-6571
Phone (606) 688-3112
Other names 1
- Clinton County Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200511000910 | KY | DME Supplier - Pharmacy | 0244661197 | Practice locations: Albany, KY |
| O20201229000893 | KY | Part B Supplier - Pharmacy | 0244661197 | Practice locations: Albany, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2234048 | Clinton County Pharmacy | Certificate of waiver | Aug 26, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CCPB | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Sea… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
260 Burkesville Rd
Albany, KY 42602
Phone (606) 387-4422
903 N Cross St
Albany, KY 42602
Phone (606) 387-0222
Ownership & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1275178576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 CONCORD RD",
"city": "ALBANY",
"state": "KY",
"postal_code": "426026571",
"telephone_number": "606-688-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 N CROSS ST",
"city": "ALBANY",
"state": "KY",
"postal_code": "426021617",
"telephone_number": "606-387-0222",
"fax_number": "606-387-0032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCPB",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A",
"authorized_official_last_name": "HUFF",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "KEETON",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "606-688-3113",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": false
},
{
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinton County Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.