TPN Grayson LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07764 Issued in KY

Legal business name

TPN GRAYSON LLC

Doing business as

Grayson Family Drug

Practice address

131 S Carol Malone Blvd
Ste E
Grayson, KY 41143-1810

Phone

(606) 475-0232

Fax

(606) 475-0245

NPI assigned

Oct 17, 2006

Last updated

Jul 5, 2016By 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

Daren WhiteNPI 1922134345

Title

Partner

Phone

(859) 277-2271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grayson Family Drug Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daren Anthony White, RPH

  • Nuclear Pharmacist
  • Lexington, KY
  • NPI 1922134345
  Authorized official Same address or phone

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1659451177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S CAROL MALONE BLVD",
            "address_2": "STE E",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431810",
            "telephone_number": "606-475-0232",
            "fax_number": "606-475-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S CAROL MALONE BLVD",
            "address_2": "STE E",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431810",
            "telephone_number": "606-475-0232",
            "fax_number": "606-475-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPN GRAYSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DAREN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "859-277-2271"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayson Family Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kody Trivette
• Maryellen Tussey, NP
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• Community/Retail Pharmacy in Grayson, KY
• Providers in Grayson, 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 Jul 5, 2016; 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.