Barry Livingston Rose, RPH
Individual provider Active NPI Pharmacist · Clay City, KY
NPI 1487869731 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487869731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 010655 (KY)
- Practice address
- 4644 Highway 15 West
Clay City, KY 40312 - Phone
- (606) 663-3481
- Fax
- (606) 663-4235
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010655 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Drug, Inc. | Past | Accepting new patients | |
| Jordan Drug, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010655 | KY | Yes |
Addresses
Primary practice location
4644 Highway 15 West
Clay City, KY 40312
Mailing address
499 Rose Lane
Clay City, KY 40312
Phone (606) 663-1471
Other providers in Clay City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.