Mountain Clinic Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07143 Issued in KY

Legal business name

MOUNTAIN CLINIC PHARMACY LLC

Doing business as

Mountain Clinic Pharmacy

Practice address

233 E Main St
Suite B
Hazard, KY 41701-1954

Phone

(606) 436-0045

Fax

(606) 436-0048

NPI assigned

Oct 13, 2006

Last updated

Sep 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooks Webb, RPH

Title

Partner

Phone

(606) 438-2445

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MOUNTAIN CLINIC PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1558451476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E MAIN ST",
            "address_2": "SUITE B",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011954",
            "telephone_number": "606-436-0045",
            "fax_number": "606-436-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E MAIN ST",
            "address_2": "SUITE B",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011954",
            "telephone_number": "606-436-0045",
            "fax_number": "606-436-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CLINIC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "606-438-2445",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54012190",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1829742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Mosley
• Phillip L Mosley Jr., LPCC
• Mountain After Hours Clinic PSC
• Mountain Chiropractic Health, PLLC
• Mountain Chiropractic Health, PLLC
• Mountain Community Pharmacy LLC
• Mountain Comprehensive Care Center, Inc. (Homeplace Clinic Hazard Outpt)
• Mountain Comprehensive Care Center, Inc. (Homeplace Clinic Hazard TRP)
• Mountain Comprehensive Care Center, Inc. (Homeplace Clinic Hazard IOP)
• Mountain Comprehensive Health Corporation (Hazard Medical Clinic Pharmacy)

• Community/Retail Pharmacy in Hazard, KY
• Providers in Hazard, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.