NPIMap

Organization Active NPI

Coffman Family Drugs LLC

Doing business as Nortonville Pharmacy

  • Community/Retail Pharmacy
  • Nortonville, KY
National Provider Identifier
1336497031
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07518 Issued in KY
Legal business name
COFFMAN FAMILY DRUGS LLC
Doing business as
Nortonville Pharmacy
Practice address
102 Greenville Rd
Nortonville, KY 42442
Phone
(270) 676-8268
Fax
(270) 676-8205
NPI assigned
Aug 28, 2012
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Adam Coffman, PHARMDNPI 1982953162
Title
Owner, Pic
Phone
(270) 676-8250

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P07518 KY Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

102 Greenville Rd
Nortonville, KY 42442

Mailing address

PO Box 967
Nortonville, KY 42442-0967
Phone (270) 676-8250

Other identifiers 2

IdentifierTypeStateIssuer
7100209310MedicaidKY
2136833OtherPK

Other names 1

  • Nortonville Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

229 S Hopkinsville St
Nortonville, KY 42442
Phone (270) 969-1364

Practitioners & affiliated clinicians

Practitioners 1

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": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1336497031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "NORTONVILLE",
            "state": "KY",
            "postal_code": "424420967",
            "telephone_number": "270-676-8250",
            "fax_number": "270-676-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GREENVILLE RD",
            "city": "NORTONVILLE",
            "state": "KY",
            "postal_code": "42442",
            "telephone_number": "270-676-8268",
            "fax_number": "270-676-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFMAN FAMILY DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "270-676-8250",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07518",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100209310",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nortonville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nortonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.