Prescription Shoppe

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRESCRIPTION SHOPPE

Practice address

808 Jamestown St
Columbia, KY 42728-1010

Phone

(270) 384-2132

Fax

(270) 384-4541

NPI assigned

Aug 18, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Eugene Davis

Title

Accountant

Phone

(270) 384-2132

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659363398",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "270-384-2132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90030016",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Pierce
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• Melody J. Pollard, LPCC
• Jacob William Pooler, PT, DPT
• Prescription Shoppe Inc
• Jason Priddy
• Private Contractor
• Jennifer Nicole Proffitt, APRN
• Pyles Pharmacy, Inc. (Century Medicines)

• Durable Medical Equipment & Medical Supplies in Columbia, KY
• Providers in Columbia, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.