NPIMap

Organization Active NPI

Ephraim McDowell Liberty Pharmacy

  • Community/Retail Pharmacy
  • Liberty, KY
National Provider Identifier
1396852307
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07029 Issued in KY
Legal business name
EPHRAIM MCDOWELL LIBERTY PHARMACY
Practice address
68 Hustonville Street
Liberty, KY 42539-3456
Phone
(859) 239-1721
NPI assigned
Aug 24, 2006
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Dr. Joan B Haltom, PHARMDNPI 1043219835
Title
Director of Pharmacy Services
Phone
(859) 239-1721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P07029 KY Primary

Addresses

Primary practice location

68 Hustonville Street
Liberty, KY 42539-3456

Mailing address

217 South Third Street
Dept of Pharmacy
Danville, KY 40422-8911
Phone (859) 239-1721

Other names 1

  • Wellness First Pharmacy Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Ephraim McDowell Regional Medical C68 Hustonville St, Liberty, KY 42539-3469(606) 787-0468 Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers… Accepts assignmentParticipating since Oct 1, 1985

National Provider Directory

National Provider Directory
Tax ID family
McDowell Medsource14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1396852307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SOUTH THIRD STREET",
            "address_2": "DEPT OF PHARMACY",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228911",
            "telephone_number": "859-239-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HUSTONVILLE STREET",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393456",
            "telephone_number": "859-239-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM MCDOWELL LIBERTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "HALTOM",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "859-239-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "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": "P07029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness First Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Liberty, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.