Active NPI
Wayne Kwikscript, Inc.
- Community/Retail Pharmacy
- Monticello, KY
National Provider Identifier
1528092756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07238
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100133570 | Medicaid | KY |
Other names 1
- Kwik Script Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.