NPIMap

Organization Active NPI

Grace

Doing business as Grace Health Pharmacy-Medical Campus

  • Community/Retail Pharmacy
  • Corbin, KY
National Provider Identifier
1841912508
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GRACE
Doing business as
Grace Health Pharmacy-Medical Campus
Practice address
14662 N US Highway 25 E
Corbin, KY 40701
Phone
(606) 526-9005
NPI assigned
Sep 19, 2022
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GRACE COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Dr. David Casey Whittaker, PHARMD
Title
Director of Pharmacy
Phone
(606) 526-9005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

14662 N US Highway 25 E
Corbin, KY 40701

Mailing address

1019 Cumberland Falls Hwy Ste B201
Corbin, KY 40701
Phone (606) 526-9005

Other identifiers 2

IdentifierTypeStateIssuer
7100895080MedicaidKY
P08256OtherKYPHARMACY LICENSE

Other names 1

  • Grace Health Pharmacy-Medical Campus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grace Community Health Center Inc20 organizations share this tax ID, including this one
Part of
Grace Community Health Center Inc

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1841912508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY STE B201",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-526-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14662 N US HIGHWAY 25 E",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-526-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-07-21",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "606-526-9005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100895080",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "P08256",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Health Pharmacy-Medical Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Health Pharmacy-Medical Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.