NPIMap

Organization Active NPI

Midway Pharmacy of Clarkson, Inc

  • Long Term Care Pharmacy
  • Leitchfield, KY
National Provider Identifier
1467219055
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MIDWAY PHARMACY OF CLARKSON, INC
Doing business as
Midway Pharmacy
Practice address
1085 William Thomason Byway
Leitchfield, KY 42754-1479
Phone
(270) 259-8400
Fax
(844) 607-4498
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Dr. Trevor Vance Ray, PHARMD
Title
Secretary
Phone
(270) 259-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1085 William Thomason Byway
Leitchfield, KY 42754-1479

Mailing address

1085 William Thomason Byway
Leitchfield, KY 42754-1479
Phone (270) 259-8400

Other names 1

  • Midway Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midway Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1467219055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 WILLIAM THOMASON BYWAY",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541479",
            "telephone_number": "270-259-8400",
            "fax_number": "844-607-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 WILLIAM THOMASON BYWAY",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541479",
            "telephone_number": "270-259-8400",
            "fax_number": "844-607-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY PHARMACY OF CLARKSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "VANCE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "270-259-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.