Individual provider Active NPI

David Wayne O'Quinn

  • Pharmacist
  • West Liberty, KY
National Provider Identifier
1710697685
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
011655 Issued in KY
Practice address
412 Liberty Rd
West Liberty, KY 41472-2049
Phone
(606) 356-7605
Fax
(606) 743-2187
NPI assigned
Dec 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 011655 KY Primary

Addresses

Primary practice location

412 Liberty Rd
West Liberty, KY 41472-2049

Mailing address

22 Upper Long BR
Ezel, KY 41425-8654
Phone (606) 356-7605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011655KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick & Smith Inc CurrentSince Dec 6, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1710697685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 UPPER LONG BR",
            "city": "EZEL",
            "state": "KY",
            "postal_code": "414258654",
            "telephone_number": "606-356-7605",
            "fax_number": "606-743-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 LIBERTY RD",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414722049",
            "telephone_number": "606-356-7605",
            "fax_number": "606-743-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'QUINN",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "011655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Liberty, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.