Organization Active NPI

Newport Drug Center Inc

  • Community/Retail Pharmacy
  • Newport, KY
National Provider Identifier
1871684068
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06653 Issued in KY
Legal business name
NEWPORT DRUG CENTER INC
Practice address
39 W 10TH St
Newport, KY 41071-1444
Phone
(859) 291-2578
Fax
(859) 655-4843
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Bob Crawford
Title
VP Owner
Phone
(859) 291-2578

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P06653 KY Primary

Addresses

Primary practice location

39 W 10TH St
Newport, KY 41071-1444

Mailing address

39 W 10TH St
Newport, KY 41071-1444
Phone (859) 291-2578

Other identifiers 2

IdentifierTypeStateIssuer
1807467OtherNCPDP
54010251MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000332 KY Part B Supplier - Mass Immunization (Roster Biller Only) 2062573629 Practice locations: Newport, KY

National Provider Directory

National Provider Directory

Locations

948 York St
Newport, KY 41071
Phone (859) 291-2578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1871684068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W 10TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711444",
            "telephone_number": "859-291-2578",
            "fax_number": "859-655-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W 10TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711444",
            "telephone_number": "859-291-2578",
            "fax_number": "859-655-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT DRUG CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "VP OWNER",
        "authorized_official_telephone_number": "859-291-2578"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1807467",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54010251",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.