NPIMap

Organization Active NPI

Lewis County Primary Care Center Pharmacy

  • Clinic Pharmacy
  • Vanceburg, KY
National Provider Identifier
1487766614
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
P07030 Issued in KY
Legal business name
LEWIS COUNTY PRIMARY CARE CENTER PHARMACY
Practice address
211 Ky 59
Vanceburg, KY 41179-0550
Phone
(606) 796-2686
Fax
(606) 796-6010
NPI assigned
Sep 1, 2006
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Lorie Evans, PHARMD
Title
Pharmacist
Phone
(606) 796-2686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X P07030 KY Primary

Addresses

Primary practice location

211 Ky 59
Vanceburg, KY 41179-0550

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-2686

Other identifiers 1

IdentifierTypeStateIssuer
54010350MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Lewis County Primary Care Center Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1487766614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-2686",
            "fax_number": "606-796-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KY 59",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-2686",
            "fax_number": "606-796-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY PRIMARY CARE CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-796-2686",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "KY",
            "license": "P07030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54010350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vanceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.