Poole's' Pharmacy Care, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06822 Issued in KY

Legal business name

POOLE'S' PHARMACY CARE, INC.

Doing business as

Poole's Pharmacy Care

Practice address

4333 Springhill Dr Ste 101
Owensboro, KY 42303-4661

Phone

(270) 926-6260

Fax

(270) 926-0502

NPI assigned

Jul 21, 2006

Last updated

Jul 20, 2023By 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

Mr. Ronald Steven Poole, RPH

Title

Pharmacist/Ceo

Phone

(270) 486-1534

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Poole's Pharmacy Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pooles Pharmacy Care Inc

  dba Pooles Pharmacy Care

  • Community/Retail Pharmacy
  • Central City, KY
  • NPI 1639190093

  9335187012

  Same PAC ID
• Pooles Pharmacy Care Inc

  dba Pooles Pharmacy Care

  • Community/Retail Pharmacy
  • Livermore, KY
  • NPI 1972695427

  9335187012

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1861413221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "LIVERMORE",
            "state": "KY",
            "postal_code": "423520091",
            "telephone_number": "270-278-2367",
            "fax_number": "270-278-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 SPRINGHILL DR STE 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034661",
            "telephone_number": "270-926-6260",
            "fax_number": "270-926-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE'S' PHARMACY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PHARMACIST/CEO",
        "authorized_official_telephone_number": "270-486-1534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06822",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90005752",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54004247",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034014",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poole's Pharmacy Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph L Polio, M.D.
• Taryn Polio, PA-C
• William Polio, MD
• Terry Wayne Pollard, LMMT,NCTMB
• Rachelle Poole
• Erin E Pope, PAC
• Robert Neil Pope, M.D.
• Harvey Andrew Poret III, MD
• Porter Speech Pathology LLC
• Emily Marie Porter, M.S. CCC-SLP

• Community/Retail Pharmacy in Owensboro, KY
• Providers in Owensboro, 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 Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.