Organization Active NPI

CCPB

  • Community/Retail Pharmacy
  • Monticello, KY
National Provider Identifier
1285374397
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CCPB
Practice address
268 Rolling Hills Blvd
Monticello, KY 42633
Phone
(606) 688-3112
NPI assigned
Mar 29, 2022
Organization subpart
Yes
Parent organization
CCPB, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Patricia Kaye Huff
Title
Manager
Phone
(606) 688-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

268 Rolling Hills Blvd
Monticello, KY 42633

Mailing address

268 Rolling Hills Blvd
Monticello, KY 42633
Phone (606) 688-3112

Other names 1

  • Wayne County Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SureScripts Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
CCPB

Locations

268 Rolling Hills Blvd
Monticello, KY 42633
Phone (606) 688-3112

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1285374397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-688-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-688-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCPB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCPB, LLC",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "606-688-3112"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SureScripts",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "268 Rolling HIlls BLVD",
            "city": "monticello",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wayne County Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.