Active NPI
Clark County Pharmacy, Inc
- Durable Medical Equipment & Medical Supplies
- Winchester, KY
National Provider Identifier
1811049455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- P06947
- Legal business name
- CLARK COUNTY PHARMACY, INC
- Practice address
- 1520B Boonesboro Rd
Winchester, KY 40391-8816 - Phone
- (859) 744-3350
- Fax
- (859) 744-3325
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nevin Scott Goebel, PHARMD
- Title
- Owner
- Phone
- (859) 744-3350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P06947 | KY | Primary |
Addresses
Primary practice location
1520B Boonesboro Rd
Winchester, KY 40391-8816
Mailing address
1520B Boonesboro Rd
Winchester, KY 40391-8816
Phone (859) 744-3350
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196467200000",
"number": "1811049455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520B BOONESBORO RD",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403918816",
"telephone_number": "859-744-3350",
"fax_number": "859-744-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520B BOONESBORO RD",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403918816",
"telephone_number": "859-744-3350",
"fax_number": "859-744-3325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARK COUNTY PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2007-12-01",
"status": "A",
"authorized_official_last_name": "GOEBEL",
"authorized_official_first_name": "NEVIN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-744-3350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P06947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.