Organization Active NPI

King Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Hazard, KY
National Provider Identifier
1841343399
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
90012816 Issued in KY
Legal business name
KING PHARMACY, INC
Practice address
900 Morton Blvd
Hazard, KY 41701-9476
Phone
(606) 435-1067
Fax
(606) 435-1073
NPI assigned
Jan 19, 2007
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mr. Leslie S King, PHARM D.
Title
President
Phone
(606) 435-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 90012816 KY Primary

Addresses

Primary practice location

900 Morton Blvd
Hazard, KY 41701-9476

Mailing address

900 Morton Blvd
Hazard, KY 41701-9476
Phone (606) 435-1067

Other identifiers 1

IdentifierTypeStateIssuer
90012816MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
King Pharmacy Hyden2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1841343399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019476",
            "telephone_number": "606-435-1067",
            "fax_number": "606-435-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019476",
            "telephone_number": "606-435-1067",
            "fax_number": "606-435-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-435-1067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "90012816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90012816",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.