Cumberland Drug Company, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6855 Issued in KY

Legal business name

CUMBERLAND DRUG COMPANY, INC

Doing business as

Cumberland Drug Company, Inc

Practice address

1803 East Main Street
Cumberland, KY 40823

Phone

(606) 589-0003

Fax

(606) 589-0009

NPI assigned

May 22, 2006

Last updated

Mar 7, 2023By 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

Mr. Earnest J. Watts, OWNER

Title

Owner

Phone

(606) 589-0003

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• CUMBERLAND DRUG COMPANY, INC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• John Chaney, R.PH. P.I.C.

  • Pharmacist
  • Cumberland, KY
  • NPI 1780862797
  NPD

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770538613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 EAST MAIN STREET",
            "city": "CUMBERLAND",
            "state": "KY",
            "postal_code": "40823",
            "telephone_number": "606-589-0003",
            "fax_number": "606-589-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 EAST MAIN STREET",
            "city": "CUMBERLAND",
            "state": "KY",
            "postal_code": "40823",
            "telephone_number": "606-589-0003",
            "fax_number": "606-589-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND DRUG COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "EARNEST",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-589-0003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "90008087",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "6855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54005350",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1827875",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "6855",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90008087",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUMBERLAND DRUG COMPANY, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Chaney, R.PH. P.I.C.
• Destiny Clark, PHARMD
• Danette Conley, PHARM D
• Brianna D Cornett, NP
• Morgan Cox
• Cumberland Drugs
• Dinah B Day
• Donell's Tri-City Pharmacy
• Matthew Steven Duckworth
• Dustin Ferrell, PT, DPT

• Community/Retail Pharmacy in Cumberland, KY
• Providers in Cumberland, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.