Charles Patrick Childers, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9874 Issued in KY

Practice address

20 Ferguson Blvd
Dry Ridge, KY 41035-8635

Phone

(859) 824-5091

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376767129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 THOROUGHBRED LN",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410948143",
            "telephone_number": "859-363-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FERGUSON BLVD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410358635",
            "telephone_number": "859-824-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "9874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Lyn Bosse, M.S., CCC/SLP
• Catherine Burke, LCSW
• Jonathan A Byers, MD
• Shelby Elizabeth Carmichael, DO
• Nissa C Carrier
• City of Dry Ridge Kentucky (Dry Ridge Fire Department)
• Sky Colston
• Core Health Centers of Dry Ridge LLC
• Jasmine Marie Crozier I
• Jeffrey William Davis

• Pharmacist in Dry Ridge, KY
• Providers in Dry Ridge, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.