Organization Active NPI

North Century Pharmacy, Inc.

Doing business as North Century Pharmacy

  • Community/Retail Pharmacy
  • Columbia, KY
National Provider Identifier
1417364662
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTH CENTURY PHARMACY, INC.
Doing business as
North Century Pharmacy
Practice address
3058 Campbellsville Rd
Columbia, KY 42728-9511
Phone
(270) 380-1230
Fax
(270) 380-1232
NPI assigned
Jul 21, 2014
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Easton BryantNPI 1124301650
Title
Pic/Owner
Phone
(270) 380-1230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Mail Order Pharmacy 3336M0002X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3058 Campbellsville Rd
Columbia, KY 42728-9511

Mailing address

3058 Campbellsville Road
Columbia, KY 42728
Phone (270) 380-1230

Other identifiers 2

IdentifierTypeStateIssuer
7100308280MedicaidKY
2146904OtherPK

Other names 1

  • North Century Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150928001662 KY Part B Supplier - Mass Immunization (Roster Biller Only) 0648591784 Practice locations: Columbia, KY

National Provider Directory

National Provider Directory

Locations

3058 Campbellsville Rd
Columbia, KY 42728
Phone (270) 380-1230

Practitioners & affiliated clinicians

Practitioners 4

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": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1417364662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 CAMPBELLSVILLE ROAD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "42728",
            "telephone_number": "270-380-1230",
            "fax_number": "270-380-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 CAMPBELLSVILLE RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427289511",
            "telephone_number": "270-380-1230",
            "fax_number": "270-380-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTURY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "EASTON",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "270-380-1230"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100308280",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Century Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Century Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.