Cumberland Drug Company, Inc
Organization Active NPI Community/Retail Pharmacy · Cumberland, KY
NPI 1770538613 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1770538613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 6855 (KY)
- Legal business name
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Earnest J. Watts, OWNER
- Title
- Owner
- Phone
- (606) 589-0003
Practitioners 1
-
John Chaney, R.PH. P.I.C.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cumberland Drug Company Inc |
Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075056 | KY | DME Supplier - Pharmacy | 8325254477 | Practice locations: Cumberland, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 90008087 | KY | |
| Community/Retail Pharmacy | 3336C0003X | 6855 | KY | Yes |
Addresses
Primary practice location
1803 East Main Street
Cumberland, KY 40823
Mailing address
1803 East Main Street
Cumberland, KY 40823
Phone (606) 589-0003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90008087 | Medicaid | KY | |
| 54005350 | Medicaid | KY | |
| 1827875 | Other | KY | NABP |
| 6855 | Other | KY | PHARMACY PERMIT |
Other names
- CUMBERLAND DRUG COMPANY, INC
Other providers in Cumberland, KY
- John Chaney
- Destiny Clark
- Danette Conley
- Brianna D Cornett
- Morgan Cox
- Cumberland Drugs
- Dinah B Day
- Donell'S Tri-City Pharmacy
- Matthew Steven Duckworth
- Dustin Ferrell
All providers in Cumberland, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.