Versailles Independent Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07601 Issued in KY

Legal business name

VERSAILLES INDEPENDENT PHARMACY, INC.

Doing business as

Versailles Independent Pharmacy

Practice address

166 Frankfort St
Versailles, KY 40383-1164

Phone

(859) 879-0199

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Cary WhiteNPI 1669762951

Title

Owner/Pic

Phone

(859) 967-3794

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Versailles Independent Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Cary Brent White

  • Pharmacist
  • Lexington, KY
  • NPI 1669762951
  NPD Authorized official

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1629409180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 PAYNES DEPOT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405119149",
            "telephone_number": "859-967-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 FRANKFORT ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831164",
            "telephone_number": "859-879-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSAILLES INDEPENDENT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "859-967-3794"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Versailles Independent Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Kendra Van Scoy, PT, DPT
• Vannd LLC
• Versailles Chiropractic PSC
• Versailles Family Dre PLLC
• Versailles Family Medicine, PLLC
• Versailles Internal Medicine, PLC
• Douglas E Vick, DO
• Mary Tamarin Vick, DO
• Alyssa P. Vitali, LPCC
• Gary John Vitali, ED.D., NBC

• Community/Retail Pharmacy in Versailles, KY
• Providers in Versailles, 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 Dec 10, 2013; 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.