Organization Active NPI

Deans Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooksville, KY
National Provider Identifier
1730214826
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO1057 Issued in KY
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

Updated by the provider on May 11, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54014022MedicaidKY
1809714OtherNCPDP

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.