Organization Active NPI

Family Pharmacy of Perry County LLC

  • Community/Retail Pharmacy
  • Hazard, KY
National Provider Identifier
1881839637
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07308 Issued in KY
Legal business name
FAMILY PHARMACY OF PERRY COUNTY LLC
Practice address
747 Morton Blvd
Hazard, KY 41701-9469
Phone
(606) 487-1150
Fax
(606) 487-1160
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Jamie Chaney Fletcher, PHARMD
Title
Owner
Phone
(606) 216-2962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P07308 KY Primary

Addresses

Primary practice location

747 Morton Blvd
Hazard, KY 41701-9469

Mailing address

PO Box 2482
Hazard, KY 41702-2482
Phone (606) 487-1150

Other identifiers 4

IdentifierTypeStateIssuer
1830911OtherNCPDP PROVIDER IDENTIFICATION NUMBER
7100060520MedicaidKY
1830911OtherKYNCPDP
P07308OtherKYPHARMACY PERMIT

Other names 1

  • Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

747 Morton Blvd
Hazard, KY 41701
Phone (606) 487-1150

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1881839637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2482",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417022482",
            "telephone_number": "606-487-1150",
            "fax_number": "606-487-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019469",
            "telephone_number": "606-487-1150",
            "fax_number": "606-487-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY OF PERRY COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "CHANEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-216-2962",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1830911",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100060520",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1830911",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "P07308",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.