Active NPI
Rick R. Timmons, RPH.
- Pharmacist
- Paducah, KY
National Provider Identifier
1396758736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9042
- Practice address
- 3001 Schneidman Rd
Paducah, KY 42003-3541 - Phone
- (270) 443-7200
- Fax
- (270) 443-8537
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9042 | KY | Primary |
Addresses
Primary practice location
3001 Schneidman Rd
Paducah, KY 42003-3541
Mailing address
3001 Schneidman Rd
Paducah, KY 42003-3541
Phone (270) 443-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9042 | Other | KY | STATE LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9042 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1396758736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SCHNEIDMAN RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033541",
"telephone_number": "270-443-7200",
"fax_number": "270-443-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 SCHNEIDMAN RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033541",
"telephone_number": "270-443-7200",
"fax_number": "270-443-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "RICK",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "9042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE#",
"identifier": "9042",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.