Kentucky Mountain Health Alliance

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KENTUCKY MOUNTAIN HEALTH ALLIANCE

Doing business as

Kentucky Mountain Health Alliance Pharmacy

Practice address

1908 N Main St Ste 240
Hazard, KY 41701-2503

Phone

(606) 487-9505

NPI assigned

Nov 17, 2023

Organization subpart

Yes

Parent organization

KENTUCKY MOUNTAIN HEALTH ALLIANCEAs reported in NPPES

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

Authorized official

Name

Rebecca Cheek, PHARMD

Title

340B Coordinator

Phone

(606) 487-9505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kentucky Mountain Health Alliance Pharmacy Doing business as

Part of

Kentucky Mountain Health Alliance

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kentucky Mountain Health Alliance, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hazard, KY
  • NPI 1407043979
  NPPES parent name

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1861267007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST # 204",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012505",
            "telephone_number": "606-487-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST STE 240",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012503",
            "telephone_number": "606-487-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MOUNTAIN HEALTH ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENTUCKY MOUNTAIN HEALTH ALLIANCE",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "340B COORDINATOR",
        "authorized_official_telephone_number": "606-487-9505",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF PHARMACY",
            "identifier": "P08307",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Mountain Health Alliance Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel E. Kenady, MD
• Kentucky CVS Pharmacy LLC (CVS Pharmacy # 10155)
• Kentucky Institute for Eye Health and Surgery (Ky Eye Institute)
• Kentucky Lung Clinic, Inc
• Kentucky Medical Services Foundation
• Kentucky Mountain Health Alliance, Inc.
• Kentucky Mountain Imaging LLC
• Kentucky Mountain Radiology Services PLLC
• Kentucky Pain Management Services
• Kentucky Pain Physicians

• Community/Retail Pharmacy in Hazard, KY
• Providers in Hazard, 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 Nov 17, 2023; 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.