The Maysville Pharmacy
Organization Active NPI Pharmacy · Maysville, KY
NPI 1487718524 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487718524
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- P06460 (KY)
- Legal business name
- THE MAYSVILLE PHARMACY
- Practice address
- 1220 Forest Ave
Maysville, KY 41056 - Phone
- (606) 563-9355
- Fax
- (606) 563-9305
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. James Louis Gallenstein Jr.
- Title
- MGR
- Phone
- (606) 563-9355
National Provider Directory
Locations
1220 Forest Ave
Maysville, KY 41056
Phone (606) 563-9355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | P06460 | KY | Yes |
Addresses
Primary practice location
1220 Forest Ave
Maysville, KY 41056
Mailing address
1220 Forest Ave
Maysville, KY 41056
Phone (606) 563-9355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1825718 | Other | NCPDP # | |
| 5403467300 | Medicaid | KY |
Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.