Organization Active NPI

Martin County Family Drug Inc

  • Pharmacy
  • Inez, KY
National Provider Identifier
1821175480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P00205 Issued in KY
Legal business name
MARTIN COUNTY FAMILY DRUG INC
Practice address
117 Main Street
Inez, KY 41224-0306
Phone
(606) 298-7512
Fax
(606) 298-7615
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rosemary Goble, RPH
Title
Owner President
Phone
(606) 298-7512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P00205 KY Primary

Addresses

Primary practice location

117 Main Street
Inez, KY 41224-0306

Mailing address

117 Main Street
PO Box 306
Inez, KY 41224-0306
Phone (606) 298-7512

Other identifiers 2

IdentifierTypeStateIssuer
1805475OtherNABP
54012349MedicaidKY

Other names 1

  • Family Drug Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821175480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MAIN STREET",
            "address_2": "PO BOX 306",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412240306",
            "telephone_number": "606-298-7512",
            "fax_number": "606-298-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN STREET",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412240306",
            "telephone_number": "606-298-7512",
            "fax_number": "606-298-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN COUNTY FAMILY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "606-298-7512",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P00205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1805475",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54012349",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Drug Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inez, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.