NPIMap

Organization Active NPI

Lewis County Primary Care Center, Inc

Doing business as PrimaryPlus Tucker Drive Pharmacy

  • Community/Retail Pharmacy
  • Maysville, KY
National Provider Identifier
1780298075
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEWIS COUNTY PRIMARY CARE CENTER, INC
Doing business as
PrimaryPlus Tucker Drive Pharmacy
Practice address
555 Tucker Drive
Maysville, KY 41056-9613
Phone
(606) 956-0160
Fax
(606) 956-0161
NPI assigned
Sep 3, 2020
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Chad Erwin Evans, PHARMD
Title
Chief Clinical Officer
Phone
(606) 956-0188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

555 Tucker Drive
Maysville, KY 41056-9613

Mailing address

927 Kenton Station Dr
Maysville, KY 41056-9617
Phone (606) 759-1189

Other names 1

  • PrimaryPlus Tucker Drive Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis County Primary Care Center Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

555 Tucker Dr
Maysville, KY 41056
Phone (606) 956-0160

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1780298075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569617",
            "telephone_number": "606-759-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TUCKER DRIVE",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569613",
            "telephone_number": "606-956-0160",
            "fax_number": "606-956-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY PRIMARY CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2025-06-18",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "606-956-0188",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaryPlus Tucker Drive Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PrimaryPlus Tucker Drive Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.