Clay City Pharmacy Thomas H Ridenour

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60002785A Issued in IN

Legal business name

CLAY CITY PHARMACY THOMAS H RIDENOUR

Doing business as

Clay City Pharmacy, Inc.

Practice address

730 Main St
Clay City, IN 47841-1332

Phone

(812) 939-2173

Fax

(812) 939-2508

NPI assigned

Feb 6, 2007

Last updated

Dec 16, 2014By 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

Thomas Ridenour

Title

Owner

Phone

(812) 939-2173

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CLAY CITY PHARMACY, INC. Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Renee Heffner, RPH

  • Geriatric Pharmacist
  • Clay City, IN
  • NPI 1104384478
  NPD (past)
• Niravkumar J Patel, PHARM.D

  • Pharmacist
  • Clay City, IN
  • NPI 1679049498
  NPD (past)
• Patricia Lynne Pine, RPH

  • Pharmacist
  • Clay City, IN
  • NPI 1154804714
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1841339892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MAIN ST",
            "city": "CLAY CITY",
            "state": "IN",
            "postal_code": "478411332",
            "telephone_number": "812-939-2173",
            "fax_number": "812-939-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MAIN ST",
            "city": "CLAY CITY",
            "state": "IN",
            "postal_code": "478411332",
            "telephone_number": "812-939-2173",
            "fax_number": "812-939-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY CITY PHARMACY THOMAS H RIDENOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "RIDENOUR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-939-2173"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60002785A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023798",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLAY CITY PHARMACY, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookside Medical Home Visits LLC
• George O. Browne III, PA
• Ashley Lynn Cothron
• Jamie D Dillon, N.P.
• Brooke Hall, NP
• Shane Harbaugh I
• Christine Renee Heffner, RPH

• Community/Retail Pharmacy in Clay City, IN
• Providers in Clay City, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.