NPIMap

Organization Active NPI

Sutton Drugs of la Center Inc

  • Pharmacist
  • La Center, KY
National Provider Identifier
1689065856
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P01069 Issued in KY
Legal business name
SUTTON DRUGS OF LA CENTER INC
Practice address
234 Broadway
La Center, KY 42056
Phone
(270) 665-5192
Fax
(270) 665-9296
NPI assigned
Feb 10, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Wendy R RenfrowNPI 1629449061
Title
Pharmacy Manager
Phone
(270) 665-5192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P01069 KY Primary

Addresses

Primary practice location

234 Broadway
La Center, KY 42056

Mailing address

PO Box 179
La Center, KY 42056-0179
Phone (270) 665-5192

Other identifiers 1

IdentifierTypeStateIssuer
54014162MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Sutton Drugs of la Center Inc2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1689065856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "LA CENTER",
            "state": "KY",
            "postal_code": "420560179",
            "telephone_number": "270-665-5192",
            "fax_number": "270-665-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BROADWAY",
            "city": "LA CENTER",
            "state": "KY",
            "postal_code": "42056",
            "telephone_number": "270-665-5192",
            "fax_number": "270-665-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTON DRUGS OF LA CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "RENFROW",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "270-665-5192",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "P01069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54014162",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Center, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.