Active NPI
Newsome & Bentley LLC
Doing business as Pikeville Discount Drugs
- Community/Retail Pharmacy
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donovan Bentley
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2175317 | Other | PK | |
| 90000795 | Medicaid | KY |
Other names 1
- Pikeville Discount Drugs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pikeville Discount Drug
- Long Term Care Pharmacy
- Pikeville, KY
- NPI 1629850110
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.
-
- Pharmacist
- McCarr, KY
- NPI 1144622473
-
- Pharmacist
- Pikeville, KY
- NPI 1477698769
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.