Organization Active NPI

Complete Care Pharmacy PLLC

  • Community/Retail Pharmacy
  • Hazard, KY
National Provider Identifier
1275575730
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07067 Issued in KY
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

Updated by the provider on Jun 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia WilliamsNPI 1528652880
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2034183OtherPK
54008107MedicaidKY

Other names 1

  • COMPLETE CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.