Organization Active NPI

Medicine Enterprises LLC

  • Community/Retail Pharmacy
  • Paris, KY
National Provider Identifier
1336907062
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICINE ENTERPRISES LLC
Doing business as
Bourbontown Pharmacy
Practice address
1822 Main St
Paris, KY 40361-1109
Phone
(859) 900-0330
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Kasia Bartley
Title
Owner
Phone
(606) 356-5237

Specialties & licenses 1

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

Addresses

Primary practice location

1822 Main St
Paris, KY 40361-1109

Mailing address

PO Box 361
Clearfield, KY 40313-0361
Phone (606) 253-1266

Other identifiers 1

IdentifierTypeStateIssuer
7100972320MedicaidKY

Other names 1

  • Bourbontown Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1336907062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "CLEARFIELD",
            "state": "KY",
            "postal_code": "403130361",
            "telephone_number": "606-253-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 MAIN ST",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403611109",
            "telephone_number": "859-900-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "KASIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-356-5237"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100972320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourbontown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bourbontown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.