Organization Active NPI

Kyva Investments

Doing business as Whitesburg Pharmacy

  • Pharmacy
  • Whitesburg, KY
National Provider Identifier
1417994005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PO1132 Issued in KY
Legal business name
KYVA INVESTMENTS
Doing business as
Whitesburg Pharmacy
Practice address
246 Medical Plaza LN
Suite B
Whitesburg, KY 41858-7425
Phone
(606) 633-1335
Fax
(606) 633-1339
NPI assigned
Jun 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dennis Wayne Fleming, CPA
Title
Secretary/Treasurer
Phone
(606) 633-8098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PO1132 KY Primary

Addresses

Primary practice location

246 Medical Plaza LN
Suite B
Whitesburg, KY 41858-7425

Mailing address

27 2ND St
PO Box 280
Whitesburg, KY 41858-7362
Phone (606) 633-8098

Other identifiers 3

IdentifierTypeStateIssuer
54014642MedicaidKY
9010067800MedicaidKY
1813701OtherNAPB #

Other names 1

  • Whitesburg Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

246 Medical Plaza Ln
Ste B
Whitesburg, KY 41858
Phone (606) 633-1335

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417994005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 2ND ST",
            "address_2": "PO BOX 280",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587362",
            "telephone_number": "606-633-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 MEDICAL PLAZA LN",
            "address_2": "SUITE B",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587425",
            "telephone_number": "606-633-1335",
            "fax_number": "606-633-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYVA INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "606-633-8098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "PO1132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54014642",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010067800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB #",
            "identifier": "1813701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitesburg Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitesburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.