Organization Active NPI

CCPB

Doing business as Clinton County Pharmacy

  • Community/Retail Pharmacy
  • Albany, KY
National Provider Identifier
1275178576
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2234048Clinton County Pharmacy903 N Cross St, Albany, KY 42602Certificate of waiverAug 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
CCPB903 N Cross St, Albany, KY 42602-1617(606) 387-0222 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 assignmentParticipating since Apr 15, 2020

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.