Organization Active NPI

Donells Pharmacy Inc

Doing business as Donells Pharmacy

  • Community/Retail Pharmacy
  • Harlan, KY
National Provider Identifier
1386891554
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07280 Issued in KY
Legal business name
DONELLS PHARMACY INC
Doing business as
Donells Pharmacy
Practice address
26 Woodland HLS
Harlan, KY 40831-2562
Phone
(606) 573-4550
Fax
(606) 575-4402
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Donell Busroe, PHARMACIST
Title
Owner
Phone
(606) 573-2604

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P07280 KY Primary

Addresses

Primary practice location

26 Woodland HLS
Harlan, KY 40831-2562

Mailing address

26 Woodland HLS
Harlan, KY 40831-2562
Phone (606) 573-4550

Other identifiers 2

IdentifierTypeStateIssuer
7100051570MedicaidKY
1830822OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Donells Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

40 W Highway 72
#B
Baxter, KY 40806
Phone (606) 573-4550

26 Woodland Hls
Harlan, KY 40831
Phone (606) 573-4550

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1386891554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WOODLAND HLS",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312562",
            "telephone_number": "606-573-4550",
            "fax_number": "606-575-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WOODLAND HLS",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312562",
            "telephone_number": "606-573-4550",
            "fax_number": "606-575-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONELLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "BUSROE",
        "authorized_official_first_name": "DONELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-573-2604",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100051570",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1830822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donells Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Donells Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlan, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.