Active NPI
Barry Livingston Rose, RPH
- Pharmacist
- Clay City, KY
National Provider Identifier
1487869731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010655
- Practice address
- 4644 Highway 15 West
Clay City, KY 40312 - Phone
- (606) 663-3481
- Fax
- (606) 663-4235
- NPI assigned
- May 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010655 | KY | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- 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 |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Powell Prescription Center
- Community/Retail Pharmacy
- Clay City, KY
- NPI 1295762987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487869731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 ROSE LANE",
"city": "CLAY CITY",
"state": "KY",
"postal_code": "40312",
"telephone_number": "606-663-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4644 HIGHWAY 15 WEST",
"city": "CLAY CITY",
"state": "KY",
"postal_code": "40312",
"telephone_number": "606-663-3481",
"fax_number": "606-663-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "BARRY",
"middle_name": "LIVINGSTON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clay City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.