Organization Active NPI

Your Pharmacy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cynthiana, KY
National Provider Identifier
1639348550
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
90005174 Issued in KY
Legal business name
YOUR PHARMACY, LLC
Practice address
208 W Pleasant St
Suite 2
Cynthiana, KY 41031-2421
Phone
(859) 234-5400
Fax
(859) 234-5399
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Joshua E Sorrell
Title
Owner
Phone
(859) 234-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 90005174 KY Primary

Addresses

Primary practice location

208 W Pleasant St
Suite 2
Cynthiana, KY 41031-2421

Mailing address

208 W Pleasant St
Suite 2
Cynthiana, KY 41031-2421
Phone (859) 234-5400

Other identifiers 1

IdentifierTypeStateIssuer
90005174MedicaidKY

National Provider Directory

National Provider Directory

Locations

208 W Pleasant St
Ste 2
Cynthiana, KY 41031
Phone (859) 234-5400

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1639348550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W PLEASANT ST",
            "address_2": "SUITE 2",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410312421",
            "telephone_number": "859-234-5400",
            "fax_number": "859-234-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W PLEASANT ST",
            "address_2": "SUITE 2",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410312421",
            "telephone_number": "859-234-5400",
            "fax_number": "859-234-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "SORRELL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-234-5400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "90005174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90005174",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.