Organization Active NPI

Century Pharmacy Inc

Doing business as Century Medicines

  • Community/Retail Pharmacy
  • Campbellsville, KY
National Provider Identifier
1730257973
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P02460 Issued in KY
Legal business name
CENTURY PHARMACY INC
Doing business as
Century Medicines
Practice address
1608 Old Lebanon Rd
Campbellsville, KY 42718-9662
Phone
(270) 789-4734
Fax
(270) 789-3694
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Harry Pyles, RPH
Title
Co Owner
Phone
(270) 789-4734

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P02460 KY Primary

Addresses

Primary practice location

1608 Old Lebanon Rd
Campbellsville, KY 42718-9662

Mailing address

1608 Old Lebanon Rd
Campbellsville, KY 42718-9662
Phone (270) 789-4734

Other identifiers 2

IdentifierTypeStateIssuer
1822077OtherNCPDP PROVIDER IDENTIFICATION NUMBER
54028113MedicaidKY

Other names 1

  • Century Medicines Doing business as

National Provider Directory

National Provider Directory

Locations

1608 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 789-4734

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1730257973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189662",
            "telephone_number": "270-789-4734",
            "fax_number": "270-789-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189662",
            "telephone_number": "270-789-4734",
            "fax_number": "270-789-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "PYLES",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "270-789-4734",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P02460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1822077",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54028113",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Medicines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.