Organization Active NPI

TPC Martin Inc

Doing business as Total Pharmacy Care #4

  • Long Term Care Pharmacy
  • Martin, KY
National Provider Identifier
1487165478
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
P07795 Issued in KY
Legal business name
TPC MARTIN INC
Doing business as
Total Pharmacy Care #4
Practice address
1102 Kentucky RT 122
Martin, KY 41649
Phone
(606) 949-1555
Fax
(606) 949-1558
NPI assigned
Oct 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Billy RoweNPI 1679164263
Title
Pharmacist
Phone
(606) 433-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X P07795 KY Primary

Addresses

Primary practice location

1102 Kentucky RT 122
Martin, KY 41649

Mailing address

263 Ky Route 122
Martin, KY 41649-9006
Phone (606) 794-9675

Other identifiers 2

IdentifierTypeStateIssuer
7100427500MedicaidKY
2170637OtherPK

Other names 1

  • Total Pharmacy Care #4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Total Pharmacy Care 43 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487165478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 KY ROUTE 122",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416499006",
            "telephone_number": "606-794-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 KENTUCKY RT 122",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "41649",
            "telephone_number": "606-949-1555",
            "fax_number": "606-949-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPC MARTIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-433-0555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P07795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100427500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Pharmacy Care #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.