Organization Active NPI

Clark County Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
National Provider Identifier
1811049455
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P06947 Issued in KY
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

Updated by the provider on Dec 1, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.