PPC 001

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07624 Issued in KY

Legal business name

PPC 001

Doing business as

PPC

Practice address

3012 Eastpoint Pkwy
Louisville, KY 40223-4185

Phone

(812) 288-2488

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Jeffrey Campbell

Title

Owner

Phone

(812) 288-2488

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PPC Doing business as

Tax ID family

Physicians Primary Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physicians Primary Care, PLLC

  • Community/Retail Pharmacy
  • Jeffersonville, IN
  • NPI 1750795563
  NPD tax ID

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1629496914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306016",
            "telephone_number": "812-288-2488",
            "fax_number": "812-288-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 EASTPOINT PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234185",
            "telephone_number": "812-288-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPC 001",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-288-2488"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie A Poynter, DMD
• Tiffeney Denise Poynter, MHA, LPN
• Frances M Poyntz, CSW
• Maeva Cloe Pozoko Tatsa
• Brett Pozolinski, DPT
• Akruti Patel Prabhakar, DO
• Kiran Prabhakar, DO
• Catherine Anjali Prabhu, CRNA
• Practical Care Solutions LLC
• Practicare Home Care Services, LLC

• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, 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 Apr 3, 2014; 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.