Medical Arts Pharmacy of Glasgow, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDICAL ARTS PHARMACY OF GLASGOW, INC.

Practice address

1220 N Race St
Glasgow, KY 42141-3462

Phone

(270) 651-7030

Fax

(270) 651-9948

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Trevor Ray, PHARMDNPI 1982682878

Title

Owner

Phone

(270) 651-7030

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Midway Pharmacy of Clarkson Inc

  dba Midway Pharmacy

  • Community/Retail Pharmacy
  • Leitchfield, KY
  • NPI 1215914866

  Member Of

  NPD member

Practitioners 1

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

• Trevor Vance Ray, PHARMD.

  • Pharmacist
  • Leitchfield, KY
  • NPI 1982682878
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1629163142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NORTH RACE STREET",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413455",
            "telephone_number": "270-651-7030",
            "fax_number": "270-651-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413462",
            "telephone_number": "270-651-7030",
            "fax_number": "270-651-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHARMACY OF GLASGOW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-651-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54019021",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1815882",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McPeak Vision Partners PLLC
• McPeak Vision Partners PLLC
• Dailey McPeak, MD
• Cindy Meadows, LPCC
• Medical Arts Pharmacy of Glasgow, Inc. (Medical Arts Pharmacy)
• Medical Associates of Southern Kentucky PLLC (m.a.s.k.)
• Medical Services, Inc. (Glasgow Kidney Center)
• Carmen Alexandra Medina, D.C.
• Jordan David Meekins, MS, CRC, LPC
• Gordon Melton

• Community/Retail Pharmacy in Glasgow, KY
• Providers in Glasgow, 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 Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.