Pharmacy Services of Campbellsville

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01893 Issued in KY

Legal business name

PHARMACY SERVICES OF CAMPBELLSVILLE

Practice address

325 E Broadway St
Campbellsville, KY 42718-2003

Phone

(270) 465-3784

Fax

(270) 789-3784

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Edward Baise, PBS

Title

Pharmacist and Owner

Phone

(270) 465-3784

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE MEDICINE CENTRE PHARMACY Doing business as

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1356434799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182003",
            "telephone_number": "270-465-3784",
            "fax_number": "270-789-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E BROADWAY ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182003",
            "telephone_number": "270-465-3784",
            "fax_number": "270-789-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICES OF CAMPBELLSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "BAISE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "270-465-3784",
        "authorized_official_credential": "PBS"
    },
    "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": "P01893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54020631",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030601",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE CENTRE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda Pauley
• Alexis Pearish
• Bethany Perkins
• Personal Geri-Care, LLC
• Amy Renee Peterson
• Allison Gayle Phillips, APRN
• Phoenix Way, LLC
• Olivia R Pitcock, PTA
• Rebecca S Pittman, LPCA
• Plus One Counseling

• All providers in Campbellsville, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.