Prestonsburg Pharmacist Group LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PRESTONSBURG PHARMACIST GROUP LLC

Doing business as

ARCHER CLINIC PHARMACY

Practice address

400 University Dr
Suite 100
Prestonsburg, KY 41653

Phone

(606) 886-1202

Fax

(606) 886-1346

NPI assigned

Jul 30, 2006

Organization subpart

Yes

Parent organization

PRESTONSBURG PHARMACIST GROUP LLCAs reported in NPPES

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

Authorized official

Name

Justin Bell

Title

President

Phone

(502) 370-4336

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ARCHER CLINIC PHARMACY Doing business as

Part of

Prestonsburg Pharmacist Group LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prestonsburg Pharmacist Group LLC

  • Community/Retail Pharmacy
  • Prestonsburg, KY
  • NPI 1215416599
  NPPES parent name

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1538174172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SOUTH BROADWAY",
            "address_2": "SUITE 7",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "40324",
            "telephone_number": "502-370-4336",
            "fax_number": "502-370-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY DR",
            "address_2": "SUITE 100",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-886-1202",
            "fax_number": "606-886-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTONSBURG PHARMACIST GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTONSBURG PHARMACIST GROUP LLC",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-370-4336"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P01662",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030532",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54019179",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCHER CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARCHER CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Preston
• Mark Preston, BA
• Rachel Preston
• Prestonsburg Health Center, Inc.
• Prestonsburg Pharmacist Group LLC
• Prestonsburg Primary Care PLLC
• Andrew Prewitt
• Elizabeth Price-Slone
• Geri Price
• Richard Price

• Compounding Pharmacy in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Compounding Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.