North Park Pharmacy, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTH PARK PHARMACY, INC

Practice address

327 N Main St
Owenton, KY 40359-1409

Phone

(502) 484-3174

Fax

(502) 484-0141

NPI assigned

Mar 15, 2006

Last updated

Jun 15, 2011By 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. Robert E Cull, RPH

Title

Ceo

Phone

(502) 484-3113

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1699744391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N MAIN ST",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403591409",
            "telephone_number": "502-484-3174",
            "fax_number": "502-484-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N MAIN ST",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403591409",
            "telephone_number": "502-484-3174",
            "fax_number": "502-484-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-484-3113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "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": "90020942",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy J Markham, PTA
• Amanda L Marston, RN, BSN, MSHA
• Alexis McKendall, DDS
• Danny Morgan
• North Park Pharmacy, Inc (North Park Pharmacy and Home Medical Equipment)
• Mary Overberg, MSW
• Owen County Fiscal Court (Owen County EMS)
• Owen County Schools
• Owen Dental Center, P.S.C.
• Owen Emergency Physicians

• Durable Medical Equipment & Medical Supplies in Owenton, KY
• Providers in Owenton, 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 Jun 15, 2011; 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.