Emory Centre Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

P02029 Issued in KY

Legal business name

EMORY CENTRE PHARMACY

Practice address

527 Emory Dr
Suite 7
Owensboro, KY 42301-6186

Phone

(270) 684-0649

Fax

(270) 684-0132

NPI assigned

Sep 21, 2006

Last updated

Mar 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William J Sewell, RPH

Title

Pres

Phone

(270) 684-0649

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1386742351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 EMORY DR",
            "address_2": "SUITE 7",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016186",
            "telephone_number": "270-684-0649",
            "fax_number": "270-684-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 EMORY DR",
            "address_2": "SUITE 7",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016186",
            "telephone_number": "270-684-0649",
            "fax_number": "270-684-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY CENTRE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "270-684-0649",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P02029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1818066",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54022231",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9012801",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.