Organization Active NPI

North Fork Valley Community Health Board, Inc

Doing business as UK North Fork Valley Community Health Center Pharmacy

  • Pharmacy
  • Hazard, KY
National Provider Identifier
1326235276
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P07214 Issued in KY
Legal business name
NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC
Doing business as
UK North Fork Valley Community Health Center Pharmacy
Practice address
750 Morton Blvd
Hazard, KY 41701
Phone
(606) 439-1559
Fax
(606) 436-6988
NPI assigned
Sep 25, 2007
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Joe Eagle Kingery, D.O.
Title
Ceo
Phone
(606) 439-1559

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P07214 KY Primary
Clinic Pharmacy 3336C0002X P07214 KY
Community/Retail Pharmacy 3336C0003X P07214 KY

Addresses

Primary practice location

750 Morton Blvd
Hazard, KY 41701

Mailing address

750 Morton Blvd.
Hazard, KY 41701
Phone (606) 439-3557

Other names 1

  • UK North Fork Valley Community Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Fork Valley Community Health Board Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1326235276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MORTON BLVD.",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701",
            "telephone_number": "606-439-3557",
            "fax_number": "606-436-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701",
            "telephone_number": "606-439-1559",
            "fax_number": "606-436-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "KINGERY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "EAGLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-439-1559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07214",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "KY",
            "license": "P07214",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UK North Fork Valley Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.