McCreary Medical Resources, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MCCREARY MEDICAL RESOURCES, LLC

Practice address

57 Oaks LN
Suite 14
Whitley City, KY 42653

Phone

(606) 376-1551

Fax

(606) 376-1502

NPI assigned

Sep 5, 2006

Last updated

Dec 13, 2007By 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. Jerry L Pennington

Title

Owner

Phone

(606) 376-1551

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1881796142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426531180",
            "telephone_number": "606-376-1551",
            "fax_number": "606-376-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 OAKS LN",
            "address_2": "SUITE 14",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "42653",
            "telephone_number": "606-376-1551",
            "fax_number": "606-376-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCREARY MEDICAL RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-376-1551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006750",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000331701",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45002458",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maranda Manning
• Charlotte Louise Marlow, LPCC
• Jessica Ann Mason, BCBA, LBA
• McCreary County Judge (McCreary County Ambulance Service)
• McCreary County Primary Care LLC
• McCreary Primary Care Center, Inc
• Tracy M McDonald, LPCC
• Stephen M McKinley, OD
• Santanna Morgan, LPCA
• Kristina E Morrow, LCSW

• Oxygen Equipment & Supplies (DME) in Whitley City, KY
• Providers in Whitley City, KY by specialty
• Oxygen Equipment & Supplies (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.