Organization Active NPI

Kyva Investments Inc

  • Community/Retail Pharmacy
  • Whitesburg, KY
National Provider Identifier
1467564310
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06331 Issued in KY
Legal business name
KYVA INVESTMENTS INC
Practice address
109 E Main St
Whitesburg, KY 41858-7351
Phone
(606) 633-4488
Fax
(606) 633-4849
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Bernardine Miracle, RPH
Title
Pic,Ao
Phone
(606) 633-4488

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P06331 KY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

109 E Main St
Whitesburg, KY 41858-7351

Mailing address

109 E Main St
Whitesburg, KY 41858-7351
Phone (606) 633-4488

Other identifiers 2

IdentifierTypeStateIssuer
7100204060MedicaidKY
2030619OtherPK

Other names 1

  • KYVA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

109 E Main St
Whitesburg, KY 41858
Phone (606) 633-4488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1467564310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587351",
            "telephone_number": "606-633-4488",
            "fax_number": "606-633-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587351",
            "telephone_number": "606-633-4488",
            "fax_number": "606-633-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYVA INVESTMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "BERNARDINE",
        "authorized_official_title_or_position": "PIC,AO",
        "authorized_official_telephone_number": "606-633-4488",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06331",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100204060",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KYVA 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 Jun 29, 2016; 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.