Daughertys Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01040 Issued in KY

Legal business name

DAUGHERTYS DRUG STORE INC

Practice address

4160 S Highway 27
Pine Knot, KY 42635

Phone

(606) 354-2222

Fax

(877) 739-6724

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Kerry Matheny, RPH

Title

RPH

Phone

(606) 354-2222

Specialties & licenses 2

Addresses

Other names 1

• DAUGHERTYS DRUG STORE INC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• James Wesley Murphy, PHARMD

  • Pharmacist
  • Pine Knot, KY
  • NPI 1134429772
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1316938210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426350548",
            "telephone_number": "606-354-2222",
            "fax_number": "877-739-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 S HIGHWAY 27",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "42635",
            "telephone_number": "606-354-2222",
            "fax_number": "877-739-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHERTYS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "MATHENY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "606-354-2222",
        "authorized_official_credential": "RPH"
    },
    "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": "P01040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAUGHERTYS DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Michelle Sunshine Canada, LCADC, LPCC
• Brandy Nicole Corder, LPCC, LCADC
• Cumberland Family Clinic, PLLC
• Cumberland Family Medical Center Inc
• Cumberland Family Medical Center Inc
• Tonya Lavern Hackler
• Brittany Hampton
• Industrial Wellness Services of Kentucky, PLLC
• Tena Louise Jessing, PHARM. D.
• Carri A Johnson

• Community/Retail Pharmacy in Pine Knot, KY
• Providers in Pine Knot, 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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.