Organization Active NPI

Central Kentucky Apothecary

Doing business as Dyer Drug Co

  • Community/Retail Pharmacy
  • Albany, KY
National Provider Identifier
1497754923
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CENTRAL KENTUCKY APOTHECARY
Doing business as
Dyer Drug Co
Dyer Drug
Practice address
100 E Cumberland St
Albany, KY 42602-1206
Phone
(606) 387-6444
Fax
(606) 387-9224
NPI assigned
Jul 18, 2005
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Arica V. Collins, PHARM D.NPI 1518439678
Title
President/Ceo/Owner
Phone
(606) 387-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P07288 KY
Pharmacy 333600000X P07288 KY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

100 E Cumberland St
Albany, KY 42602-1206

Mailing address

100 E Cumberland St
Albany, KY 42602-1206
Phone (606) 387-6444

Other identifiers 3

IdentifierTypeStateIssuer
7100052570MedicaidKY
FLU0343OtherKYNGS-MEDICARE MASS IMMUNIZER
90020272MedicaidKY

Other names 2

  • DYER DRUG CO Doing business as
  • Dyer Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091021000098 KY Part B Supplier - Mass Immunization (Roster Biller Only) 2668519885 Practice locations: Albany, KY
O20100930073251 KY DME Supplier - Pharmacy 2668519885 Practice locations: Albany, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1102146Central Kentucky Apothecary, LLC Dba Dyer Drug100 Cumberland Street, Albany, KY 42602Certificate of waiverJul 12, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Central Kentucky Apothecary100 E Cumberland St, Albany, KY 42602-1206(606) 387-6444 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Breast Prostheses and/or Accessories|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inser… Accepts assignmentParticipating since Sep 2, 2009

National Provider Directory

National Provider Directory

Locations

100 E Cumberland St
Albany, KY 42602
Phone (606) 387-6444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1497754923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CUMBERLAND ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021206",
            "telephone_number": "606-387-6444",
            "fax_number": "606-387-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CUMBERLAND ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021206",
            "telephone_number": "606-387-6444",
            "fax_number": "606-387-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ARICA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "606-387-6444",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P07288",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07288",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100052570",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS-MEDICARE MASS IMMUNIZER",
            "identifier": "FLU0343",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90020272",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYER DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dyer Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.