Organization Active NPI

Webster Drug Inc

  • Community/Retail Pharmacy
  • Carrollton, KY
National Provider Identifier
1689719916
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06161 Issued in KY
Legal business name
WEBSTER DRUG INC
Doing business as
Webster Drug Inc
Practice address
99 Park LN Shopping Center
Carrollton, KY 41008-0311
Phone
(502) 732-4331
Fax
(502) 732-9182
NPI assigned
Feb 21, 2007
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Charles Webster, MBA
Title
President
Phone
(502) 732-4331

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P06161 KY Primary

Addresses

Primary practice location

99 Park LN Shopping Center
Carrollton, KY 41008-0311

Mailing address

PO Box 311
Carrollton, KY 41008-0311
Phone (502) 732-4331

Other identifiers 3

IdentifierTypeStateIssuer
54001102MedicaidKY
90020215MedicaidKY
2027937OtherPK

Other names 1

  • WEBSTER DRUG INC Doing business as

National Provider Directory

National Provider Directory

Locations

99 Park Ln
Carrollton, KY 41008
Phone (502) 732-4331

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1689719916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410080311",
            "telephone_number": "502-732-4331",
            "fax_number": "502-732-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PARK LN SHOPPING CENTER",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410080311",
            "telephone_number": "502-732-4331",
            "fax_number": "502-732-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-732-4331",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54001102",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90020215",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEBSTER DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, KY

Sources for this page

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