Organization Active NPI

Cpharma Inc

Doing business as Cull Family Pharmacy

  • Community/Retail Pharmacy
  • Owenton, KY
National Provider Identifier
1609208396
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07586 Issued in KY
Legal business name
CPHARMA INC
Doing business as
Cull Family Pharmacy
Practice address
965 Highway 127 N
Owenton, KY 40359-9302
Phone
(502) 484-3046
Fax
(502) 484-1032
NPI assigned
Aug 5, 2013
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Matthew Cull, RPH
Title
President,Owner,Ao
Phone
(502) 484-3611

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07586 KY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

965 Highway 127 N
Owenton, KY 40359-9302

Mailing address

965 Highway 127 N
Owenton, KY 40359-9302
Phone (502) 484-3046

Other identifiers 2

IdentifierTypeStateIssuer
2141505OtherPK
7100260950MedicaidKY

Other names 1

  • Cull Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150728004476 KY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 0749594224 Practice locations: Owenton, KY
O20180918001635 KY Part B Supplier - Mass Immunization (Roster Biller Only) 0749594224 Practice locations: Owenton, KY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Cpharma Inc965 Highway 127 N, Owenton, KY 40359-9302(502) 484-3046 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Press… Does not accept assignmentParticipating since Jun 18, 2015

National Provider Directory

National Provider Directory

Locations

965 Highway 127 N
Owenton, KY 40359
Phone (502) 484-3046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1609208396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 HIGHWAY 127 N",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599302",
            "telephone_number": "502-484-3046",
            "fax_number": "502-484-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HIGHWAY 127 N",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599302",
            "telephone_number": "502-484-3046",
            "fax_number": "502-484-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT,OWNER,AO",
        "authorized_official_telephone_number": "502-484-3611",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07586",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100260950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cull Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owenton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.