Organization Active NPI

Newsome & Bentley LLC

Doing business as Pikeville Discount Drugs

  • Community/Retail Pharmacy
  • Pikeville, KY
National Provider Identifier
1700931144
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07871 Issued in KY
Legal business name
NEWSOME & BENTLEY LLC
Doing business as
Pikeville Discount Drugs
Practice address
994 S Mayo TRL
Pikeville, KY 41501-1534
Phone
(606) 432-0018
Fax
(606) 437-6517
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Donovan BentleyNPI 1144622473
Title
Pharmacist
Phone
(606) 432-0018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07871 KY Primary

Addresses

Primary practice location

994 S Mayo TRL
Pikeville, KY 41501-1534

Mailing address

994 S Mayo TRL
Pikeville, KY 41501-1534
Phone (606) 432-0018

Other identifiers 2

IdentifierTypeStateIssuer
2175317OtherPK
90000795MedicaidKY

Other names 1

  • Pikeville Discount Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180730000988 KY Part B Supplier - Mass Immunization (Roster Biller Only) 3173871779 Practice locations: Pikeville, KY
O20181213000347 KY DME Supplier - Pharmacy 3173871779 Practice locations: Pikeville, KY

National Provider Directory

National Provider Directory
Tax ID family
Newsome Bentley LLC2 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.

Locations

1098 S Mayo Trl
Ste 105
Pikeville, KY 41501
Phone (606) 432-0018

1098 S Mayo Trl
Pikeville, KY 41501
Phone (606) 432-5532

Practitioners & affiliated clinicians

Practitioners 2

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1700931144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011534",
            "telephone_number": "606-432-0018",
            "fax_number": "606-437-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011534",
            "telephone_number": "606-432-0018",
            "fax_number": "606-437-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOME & BENTLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-432-0018"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175317",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90000795",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikeville Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.