Prescription Shoppe Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

P01056 Issued in KY

Legal business name

PRESCRIPTION SHOPPE INC

Practice address

808 Jamestown St
Columbia, KY 42728-1010

Phone

(270) 384-2132

Fax

(270) 384-4541

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Michael Lee Stephens, R.PH.

Title

Owner

Phone

(270) 384-2132

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1639216013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 JAMESTOWN ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281010",
            "telephone_number": "270-384-2132",
            "fax_number": "270-384-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 JAMESTOWN ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281010",
            "telephone_number": "270-384-2132",
            "fax_number": "270-384-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-384-2132",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P01056",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P01056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45902285",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54015102",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90030016",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie S Ping, APRN
• Pollard Counseling Services LLC
• Melody J. Pollard, LPCC
• Jacob William Pooler, PT, DPT
• Prescription Shoppe
• Jason Priddy
• Private Contractor
• Jennifer Nicole Proffitt, APRN
• Pyles Pharmacy, Inc. (Century Medicines)
• Angel Nashae Reeder

• Pharmacy in Columbia, KY
• Providers in Columbia, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.