Specialty Care Centers of Eastern Kentucky

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07473 Issued in KY

Legal business name

SPECIALTY CARE CENTERS OF EASTERN KENTUCKY

Doing business as

Vicco Prescription Center

Practice address

10897 S Highway 15
Scuddy, KY 41760-9033

Phone

(606) 476-2333

Fax

(606) 476-2082

NPI assigned

Sep 30, 2011

Last updated

Feb 23, 2017By 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

Robert Burton, RPH

Title

Owner,Pic,Ao

Phone

(606) 251-3931

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Vicco Prescription Center Doing business as

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1841574555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "VICCO",
            "state": "KY",
            "postal_code": "417730189",
            "telephone_number": "606-476-2333",
            "fax_number": "606-476-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10897 S HIGHWAY 15",
            "city": "SCUDDY",
            "state": "KY",
            "postal_code": "417609033",
            "telephone_number": "606-476-2333",
            "fax_number": "606-476-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CARE CENTERS OF EASTERN KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "606-251-3931",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131977",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100178780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vicco Prescription Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanie Combs, LPCA
• Pharmacy Care Center (Vicco Pharmacy)
• Primary Care Centers of Eastern Kentucky, LLC (Primary Care Centers of Eastern Kentucky-Vicco)

• Community/Retail Pharmacy in Scuddy, KY
• Providers in Scuddy, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.