Todds LTC Pharmacy PLLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

P07262 Issued in KY

Legal business name

TODDS LTC PHARMACY PLLC

Doing business as

Todds LTC Pharmacy PLLC

Practice address

120 Lothbury Ave
Ste 2
Middlesboro, KY 40965

Phone

(606) 248-0171

Fax

(606) 248-5455

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Robey Walters

Title

Owner

Phone

(606) 248-0171

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Todds LTC Pharmacy PLLC Doing business as

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1487802070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409650954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LOTHBURY AVE",
            "address_2": "STE 2",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-0171",
            "fax_number": "606-248-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODDS LTC PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "ROBEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-248-0171"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P07262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100058380",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1830834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todds LTC Pharmacy PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Long Term Care Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.