Professional Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07293 Issued in KY

Legal business name

PROFESSIONAL CARE PHARMACY INC

Doing business as

Professional Care Pharmacy

Practice address

207 Plummers LN
Ste a
Vanceburg, KY 41179-7683

Phone

(606) 796-6100

Fax

(606) 796-2407

NPI assigned

Aug 31, 2006

Last updated

Mar 8, 2017By 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

Dan Stevenson

Title

Owner

Phone

(606) 796-6100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PROFESSIONAL CARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1790897890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PLUMMERS LN",
            "address_2": "STE A",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411797683",
            "telephone_number": "606-796-6100",
            "fax_number": "606-796-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PLUMMERS LN",
            "address_2": "STE A",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411797683",
            "telephone_number": "606-796-6100",
            "fax_number": "606-796-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-796-6100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54029749",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Lynn Parsons, M.D.
• Serena Kay Penrod, LCSW
• Darla J Pickett, PAC
• Sarah Grace Porter, D.O.
• Shelley Prater Prater
• Katherine D Redmond, DO
• Jennifer Mary Rice, APRN
• Kelsey Dante Rizzo, COTA/L
• Leigh Ann Ruggles, APRN
• Rebecca Hellen Sapp, APRN

• Community/Retail Pharmacy in Vanceburg, KY
• Providers in Vanceburg, 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 8, 2017; 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.