Walters - Griffin Enterprise

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO1255 Issued in KY

Legal business name

WALTERS - GRIFFIN ENTERPRISE

Doing business as

Superior Drug

Practice address

251 Medical Plaza LN
Suite C
Whitesburg, KY 41858-9323

Phone

(606) 633-0197

Fax

(606) 633-0172

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Reed Hall, RPH

Title

RPH,Pic

Phone

(606) 633-0197

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Superior Drug Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447390588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MEDICAL PLAZA",
            "address_2": "SUITE C",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-633-0197",
            "fax_number": "606-633-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MEDICAL PLAZA LN",
            "address_2": "SUITE C",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418589323",
            "telephone_number": "606-633-0197",
            "fax_number": "606-633-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS - GRIFFIN ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "RPH,PIC",
        "authorized_official_telephone_number": "606-633-0197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO1255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1812228",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54015664",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brooke L. Whitaker, APRN
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• Heather White, LCSW

• Community/Retail Pharmacy in Whitesburg, KY
• Providers in Whitesburg, 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 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.