Active NPI
CCPB
- Community/Retail Pharmacy
- Monticello, KY
National Provider Identifier
1285374397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
-
- Community/Retail Pharmacy
- Albany, KY
- NPI 1275178576
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.