Med Express Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07059 Issued in KY

Legal business name

MED EXPRESS PHARMACY LLC

Practice address

212 S Mayo TRL
Paintsville, KY 41240-1330

Phone

(606) 789-1444

Fax

(606) 789-4887

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tamara Bentley MaynardNPI 1265517320

Title

Owner/Pharmacist

Phone

(606) 789-4410

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara B Maynard, R.PH.

  • Pharmacist
  • Paintsville, KY
  • NPI 1265517320
  NPD Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1568474625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401330",
            "telephone_number": "606-789-1444",
            "fax_number": "606-789-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401330",
            "telephone_number": "606-789-1444",
            "fax_number": "606-789-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED EXPRESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BENTLEY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "606-789-4410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P07059",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID#",
            "identifier": "213617",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1829184",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54010632",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "P07059",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol McGlothen, BA
• Kelly McGuire, APRN
• Stacy L. McKenzie-Baca, LPCC
• Tamera J. McKenzie, BSW/PE
• Katherine Marie Meade
• Medical Associates of East Kentucky, PLLC
• Medical Imaging Group, LLC
• Medical Services of America Inc (Medi Home Care)
• Medical Services of Kentucky, PSC
• Rose E Meek

• Community/Retail Pharmacy in Paintsville, KY
• Providers in Paintsville, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.