Cottongim Drug Co Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

P00234 Issued in KY

Legal business name

COTTONGIM DRUG CO INC

Doing business as

Cottongim Drug Company

Practice address

300 S Main St
Corbin, KY 40701-1458

Phone

(606) 528-1304

Fax

(606) 528-1305

NPI assigned

Oct 19, 2005

Last updated

Jun 20, 2011By 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

Donald Rollins, BS IN PHARMACY

Title

Secretary Pharmacist

Phone

(606) 528-1304

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• COTTONGIM DRUG COMPANY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Freddie Lee Cox, PHARMACIST

  • Pharmacist
  • Corbin, KY
  • NPI 1861582967
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1750370912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020570",
            "telephone_number": "606-528-1304",
            "fax_number": "606-528-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011458",
            "telephone_number": "606-528-1304",
            "fax_number": "606-528-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONGIM DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "SECRETARY PHARMACIST",
        "authorized_official_telephone_number": "606-528-1304",
        "authorized_official_credential": "BS IN PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P00234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90111188DME",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1804132",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54007232",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COTTONGIM DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louise C Cornn, MA
• Kelli Mykal Corum, DPT
• Cynthia M Coscia, LPCC
• Kari Grace Cotton-Napier
• Megan Ruth Cotton, BA
• Bertha Couch
• Leroy Douglas Couch, DMD
• Crystal Ann Cox, BA
• Freddie Lee Cox, PHARMACIST
• Kierstan Karlee Cox

• Pharmacy in Corbin, KY
• Providers in Corbin, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.