Organization Active NPI

Wayne Kwikscript, Inc.

  • Community/Retail Pharmacy
  • Monticello, KY
National Provider Identifier
1528092756
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07238 Issued in KY
Legal business name
WAYNE KWIKSCRIPT, INC.
Practice address
1251 Columbia Avenue
Monticello, KY 42633-1677
Phone
(606) 348-4455
Fax
(606) 348-4717
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Mrs. Betina Gregory
Title
Owner
Phone
(606) 348-4455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9001116400 KY
Community/Retail Pharmacy 3336C0003X P07238 KY Primary

Addresses

Primary practice location

1251 Columbia Avenue
Monticello, KY 42633-1677

Mailing address

1251 Columbia Avenue
Monticello, KY 42633-1677
Phone (606) 348-4455

Other identifiers 1

IdentifierTypeStateIssuer
7100133570MedicaidKY

Other names 1

  • Kwik Script Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1251 W Columbia Ave
Monticello, KY 42633
Phone (606) 343-0101

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1528092756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 COLUMBIA AVENUE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331677",
            "telephone_number": "606-348-4455",
            "fax_number": "606-348-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 COLUMBIA AVENUE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331677",
            "telephone_number": "606-348-4455",
            "fax_number": "606-348-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE KWIKSCRIPT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "BETINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-348-4455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "9001116400",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100133570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kwik Script Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.