Claywell, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CLAYWELL, INC

Practice address

1092 Lincoln Park Rd
Springfield, KY 40069

Phone

(859) 481-7100

Fax

(859) 481-7104

NPI assigned

Aug 17, 2016

Organization subpart

No

Name

Alyson R Roby

Title

Owner

Phone

(502) 348-6623

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Claywell Inc

  • Community/Retail Pharmacy
  • Bardstown, KY
  • NPI 1407873235

  9931147618

  Same PAC ID

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

• Diane Eickmeier, RPH

  • Pharmacist
  • Springfield, KY
  • NPI 1003152349
  NPD
• Chandler Austin Delaney

  • Pharmacist
  • Bardstown, KY
  • NPI 1528928470
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

The Medicine Shoppe4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Claywell Inc

  • Long Term Care Pharmacy
  • Bloomfield, KY
  • NPI 1164113189
  NPD tax ID
• Claywell Inc

  • Long Term Care Pharmacy
  • Bardstown, KY
  • NPI 1184315111
  NPD tax ID
• Claywell, Inc

  • Long Term Care Pharmacy
  • Springfield, KY
  • NPI 1982395901
  NPD tax ID

Locations

• Medica Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2022.

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1780139949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W STEPHEN FOSTER AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041478",
            "telephone_number": "502-348-6623",
            "fax_number": "502-348-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 LINCOLN PARK RD",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "40069",
            "telephone_number": "859-481-7100",
            "fax_number": "859-481-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYWELL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-348-6623"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100417850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medica Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medica Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Kentucky Optometric Associates PSC
• Central Kentucky Physical Therapy LLC
• Central Pharmacy
• Lisa Chesser, LMT
• Clay Thomas Cinnamon, PT
• Claywell, Inc
• Communicare Inc
• Kay A Connor-Israel, PT
• Eric Joseph Coulter, MSPT
• Kristen Hahn Coulter, M.S. CCC-SLP

• All providers in Springfield, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.