Pat'S Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PAT'S PHARMACY, INC.

Practice address

498 W Main St
Lebanon, KY 40033-1362

Phone

(270) 692-4950

Fax

(270) 692-2320

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Joseph Kelly JohnsonNPI 1215180583

Title

President

Phone

(270) 692-4950

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Kelly Johnson, R.PH.

  • Pharmacist
  • Lebanon, KY
  • NPI 1215180583
  NPD Authorized official
• Willilam Patrick Mattingly, R.PH.

  • Pharmacist
  • Lebanon, KY
  • NPI 1104079375
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1295110526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 W MAIN ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331362",
            "telephone_number": "270-692-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 W MAIN ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331362",
            "telephone_number": "270-692-4950",
            "fax_number": "270-692-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-692-4950"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Cross Community, Inc.
• One Cross Health Clinic, Inc.
• Karen H Orberson
• Victor Emanuel Ortiz Diaz
• Madison Marie Osbourne, DPT
• Pat'S Pharmacy, Inc.
• Kristen Peterson, APRN
• PJ Persson, PSC
• Sandra J Poland, CNM
• Abigail Porter, APRN

• Pharmacy in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.