Apothecare Pharmacy of Elizabethtown P S C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07481 Issued in KY

Legal business name

APOTHECARE PHARMACY OF ELIZABETHTOWN P S C

Doing business as

ApotheCARE Pharmacy III

Practice address

189 E Lincoln Trail Blvd
Radcliff, KY 40160-1253

Phone

(270) 352-0303

Fax

(270) 352-0101

NPI assigned

Dec 12, 2011

Last updated

Mar 29, 2016By 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

Gary Hamm

Title

President

Phone

(270) 234-3907

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ApotheCARE Pharmacy III Doing business as

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1801164348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 E LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601253",
            "telephone_number": "270-352-0303",
            "fax_number": "270-352-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601253",
            "telephone_number": "270-352-0303",
            "fax_number": "270-352-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARE PHARMACY OF ELIZABETHTOWN P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-234-3907"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07481",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100188890",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ApotheCARE Pharmacy III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hariklia Alexatos-Wilk, M.D.
• Lori Allen, IECE
• Samantha P Allen, BCBA, LBA
• Alternative Youth Services, Inc.
• Angela R Shelton DMD PSC (Radcliff Family Dental Care)
• Rose Archemetre, MD
• Sharon E Arflin, MFTA
• Susan Novella Arias, LCSW
• Keila Renee Armes, PHARMD
• Shantel Atkins, RBT

• Community/Retail Pharmacy in Radcliff, KY
• Providers in Radcliff, 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 29, 2016; 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.