Clay Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07577 Issued in KY

Legal business name

CLAY COMMUNITY PHARMACY LLC

Doing business as

Clay Community Pharmacy

Practice address

118 Clay Co S/C
Manchester, KY 40962

Phone

(606) 599-0209

Fax

(606) 599-0279

NPI assigned

Dec 3, 2012

Last updated

Jul 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Cruse

Title

Owner

Phone

(606) 599-0209

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clay Community Pharmacy Doing business as

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1740525773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CLAY CO S/C",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "40962",
            "telephone_number": "606-599-0209",
            "fax_number": "606-599-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CLAY CO S/C",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "40962",
            "telephone_number": "606-599-0209",
            "fax_number": "606-599-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-599-0209"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Charles Cheek, PTA
• Karen J Cheek, A.P.R.N.
• Christian Cardiology Internal Medicine
• Christian Family Healthcare, Inc.
• Clay Community Foundations, LLC
• Clay County Board of Education
• Clay County Fiscal Court (Clay County Emergency Ambulance Service)
• Clay Medi Center Pharmacy LLC (Clay Medicenter Pharmacy)
• Cloud Medical Supply
• Jason Aaron Coffey

• Community/Retail Pharmacy in Manchester, KY
• Providers in Manchester, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.