Lawrence Retail Co., Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P00260 Issued in KY

Legal business name

LAWRENCE RETAIL CO., INC.

Doing business as

Louisa Drug Store

Practice address

408 N Lock Ave
Louisa, KY 41230-1115

Phone

(606) 638-4155

Fax

(606) 638-1109

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Laban Eugene Young, R.PH.NPI 1902352214

Title

Partner

Phone

(606) 638-4155

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Louisa Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Laban Eugene Young, R.PH.

  • Pharmacist
  • Louisa, KY
  • NPI 1902352214
  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1295748051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N LOCK AVE",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301115",
            "telephone_number": "606-638-4155",
            "fax_number": "606-638-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N LOCK AVE",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301115",
            "telephone_number": "606-638-4155",
            "fax_number": "606-638-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE RETAIL CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LABAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "606-638-4155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P00260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54012240",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90020645",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisa Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence Co. Healthe Dept
• Lawrence County Health Department
• Lawrence County Health Department
• Lawrence County Health Department
• Lawrence County Schools
• Charles A Lawson, PSS
• Sarah Elizabeth Lawson, LCSW
• Kelly Suzanne Layne, LPCA
• Leslie Scott Leach, LCSW
• James C Leadingham, O.D., PSC

• Community/Retail Pharmacy in Louisa, KY
• Providers in Louisa, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.