NPIMap

Organization Active NPI

West Towne Pharmacy Inc

Doing business as West Towne Pharmacy

  • Community/Retail Pharmacy
  • Paducah, KY
National Provider Identifier
1316940885
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07652 Issued in KY
Legal business name
WEST TOWNE PHARMACY INC
Doing business as
West Towne Pharmacy
Practice address
2755 W Park Dr
Paducah, KY 42001-9058
Phone
(270) 443-0909
Fax
(270) 443-5544
NPI assigned
May 27, 2005
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Grant MathisNPI 1639571854
Title
Owner/Pic
Phone
(270) 443-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P07652 KY Primary

Addresses

Primary practice location

2755 W Park Dr
Paducah, KY 42001-9058

Mailing address

2755 W Park Dr
Paducah, KY 42001-9058
Phone (270) 443-0909

Other identifiers 1

IdentifierTypeStateIssuer
2148441OtherPK

Other names 1

  • West Towne Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1316940885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 W PARK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019058",
            "telephone_number": "270-443-0909",
            "fax_number": "270-443-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 W PARK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019058",
            "telephone_number": "270-443-0909",
            "fax_number": "270-443-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TOWNE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "270-443-0909"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Towne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.