Organization Active NPI

Jay's Pharmacy Inc

  • Community/Retail Pharmacy
  • Somerset, KY
National Provider Identifier
1518504372
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JAY'S PHARMACY INC
Practice address
400 S Highway 27
Somerset, KY 42501
Phone
(606) 451-1684
NPI assigned
Nov 28, 2019
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Jay H BrainardNPI 1225352933
Title
President
Phone
(606) 678-2784

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

400 S Highway 27
Somerset, KY 42501

Mailing address

400 S Highway 27
Somerset, KY 42501
Phone (606) 678-2784

Other identifiers 1

IdentifierTypeStateIssuer
7100641830MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Somerset Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200305002144 KY Part B Supplier - Pharmacy 5698102556 Practice locations: Somerset, KY
O20220815001764 KY Part B Supplier - Independent Clinical Laboratory 5698102556 Practice locations: Somerset, KY

National Provider Directory

National Provider Directory
Tax ID family
Jay's Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

370 S Highway 27
Somerset, KY 42501

400 S Highway 27
Somerset, KY 42501
Phone (606) 451-1684

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1574899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1518504372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S HIGHWAY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-678-2784",
            "fax_number": "859-878-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S HIGHWAY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-451-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-28",
        "last_updated": "2022-08-23",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "BRAINARD",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-678-2784"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100641830",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Somerset",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 S Highway 27",
            "city": "Somerset",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.