Active NPI
Family Pharmacy of Perry County LLC
- Community/Retail Pharmacy
- Hazard, KY
National Provider Identifier
1881839637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07308
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1830911 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 7100060520 | Medicaid | KY | |
| 1830911 | Other | KY | NCPDP |
| P07308 | Other | KY | PHARMACY PERMIT |
Other names 1
- Family Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.