Ky Four Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054011204 Issued in IL

Legal business name

KY FOUR INC

Practice address

450 W Hanover St
New Baden, IL 62265-1658

Phone

(618) 588-3517

Fax

(618) 588-4818

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Robert Nave

Title

Pharmacist

Phone

(618) 588-3517

Specialties & licenses 1

Addresses

Other names 1

• Prescriptions Plus Doing business as

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1497817381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W HANOVER ST",
            "city": "NEW BADEN",
            "state": "IL",
            "postal_code": "622651658",
            "telephone_number": "618-588-3517",
            "fax_number": "618-588-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HANOVER ST",
            "city": "NEW BADEN",
            "state": "IL",
            "postal_code": "622651658",
            "telephone_number": "618-588-3517",
            "fax_number": "618-588-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY FOUR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "NAVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "618-588-3517"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054011204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescriptions Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in New Baden, IL
• Providers in New Baden, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.