Central Kentucky Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07567 Issued in KY

Legal business name

CENTRAL KENTUCKY PHARMACY INC

Doing business as

Crume Drug Store

Practice address

111 W Flaget St
Bardstown, KY 40004-1422

Phone

(502) 348-3938

Fax

(502) 348-3434

NPI assigned

Apr 4, 2013

Organization subpart

No

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

Authorized official

Name

Robbin Sizemore

Title

President

Phone

(502) 507-5489

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crume Drug Store Doing business as

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1407199854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W FLAGET ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041422",
            "telephone_number": "502-348-3938",
            "fax_number": "502-348-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W FLAGET ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041422",
            "telephone_number": "502-348-3938",
            "fax_number": "502-348-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "SIZEMORE",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-507-5489"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139862",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crume Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.