Active NPI
Deans Pharmacy Inc
- Community/Retail Pharmacy
- Brooksville, KY
National Provider Identifier
1730214826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PO1057
- Legal business name
- DEANS PHARMACY INC
- Practice address
- 109 Locust St
Brooksville, KY 41004 - Phone
- (606) 735-2322
- Fax
- (606) 735-2754
- NPI assigned
- Feb 22, 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
- Mrs. Jackie H Dean
- Title
- Treasurer
- Phone
- (606) 735-2322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PO1057 | KY | Primary |
Addresses
Primary practice location
109 Locust St
Brooksville, KY 41004
Mailing address
PO Box 6
Brooksville, KY 41004
Phone (606) 735-2322
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54014022 | Medicaid | KY | |
| 1809714 | Other | NCPDP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431302400000",
"number": "1730214826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6",
"city": "BROOKSVILLE",
"state": "KY",
"postal_code": "41004",
"telephone_number": "606-735-2322",
"fax_number": "606-735-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 LOCUST ST",
"city": "BROOKSVILLE",
"state": "KY",
"postal_code": "41004",
"telephone_number": "606-735-2322",
"fax_number": "606-735-2754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEANS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2015-05-11",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "JACKIE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "606-735-2322",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "PO1057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54014022",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1809714",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.