Active NPI
Complete Care Pharmacy PLLC
- Community/Retail Pharmacy
- Hazard, KY
National Provider Identifier
1275575730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07067
- Legal business name
- COMPLETE CARE PHARMACY PLLC
- Doing business as
- COMPLETE CARE PHARMACY
- Practice address
- 572 Morton Blvd
Hazard, KY 41701-9473 - Phone
- (606) 487-1910
- Fax
- (606) 439-1196
- NPI assigned
- Jun 11, 2006
- 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
- Cynthia Williams
- Title
- Pharmacist / Member Plic
- Phone
- (606) 487-1910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07067 | KY | Primary |
Addresses
Primary practice location
572 Morton Blvd
Hazard, KY 41701-9473
Mailing address
572 Morton Blvd
Hazard, KY 41701-9473
Phone (606) 487-1910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034183 | Other | PK | |
| 54008107 | Medicaid | KY |
Other names 1
- COMPLETE CARE PHARMACY
National Provider Directory
National Provider DirectoryLocations
572 Morton Blvd
Hazard, KY 41701
Phone (606) 487-1910
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
- Hazard, KY
- NPI 1528652880
-
- Pharmacist
- Hazard, KY
- NPI 1518333681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435363200000",
"number": "1275575730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 MORTON BLVD",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019473",
"telephone_number": "606-487-1910",
"fax_number": "606-439-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 MORTON BLVD",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019473",
"telephone_number": "606-487-1910",
"fax_number": "606-439-1196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE CARE PHARMACY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2015-06-27",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "PHARMACIST / MEMBER PLIC",
"authorized_official_telephone_number": "606-487-1910"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P07067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2034183",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54008107",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COMPLETE CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.