King Pharmacy Hazard LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KING PHARMACY HAZARD LLC

Practice address

900 Morton Blvd
Hazard, KY 41701-9476

Phone

(606) 435-1067

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Keisha Caldwell Feltner, OWNER/MANAGER

Title

Owner/Manager

Phone

(606) 275-0835

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1407436264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417490289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019476",
            "telephone_number": "606-435-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PHARMACY HAZARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "FELTNER",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "CALDWELL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "606-275-0835",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER/MANAGER"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100739210",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Hazard, KY
• Providers in Hazard, 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 Jun 15, 2021; 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.