Organization Active NPI

Fiddlewood Farmacy

Doing business as The Farmacy

  • Chiropractor
  • Philpot, KY
National Provider Identifier
1891502647
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIDDLEWOOD FARMACY
Doing business as
The Farmacy
Practice address
6071 Highway 54 Lowr Level1
Philpot, KY 42366-9642
Phone
(270) 713-3276
Fax
(270) 246-9719
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
John Tyler, DCNPI 1487992624
Title
Owner
Phone
(270) 313-7920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

6071 Highway 54 Lowr Level1
Philpot, KY 42366-9642

Mailing address

6071 Highway 54 Lowr Level1
Philpot, KY 42366-9642
Phone (270) 713-3276

Other names 1

  • The Farmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250206002814 KY Part B Supplier - Clinic/Group Practice 2466982343 Receives reassigned benefits from 1 practitioner
Practice locations: Philpot, KY

National Provider Directory

National Provider Directory

Locations

6071 Highway 54
#1
Philpot, KY 42366
Phone (270) 713-3276

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1891502647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 HIGHWAY 54 LOWR LEVEL1",
            "city": "PHILPOT",
            "state": "KY",
            "postal_code": "423669642",
            "telephone_number": "270-713-3276",
            "fax_number": "270-246-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 HIGHWAY 54 LOWR LEVEL1",
            "city": "PHILPOT",
            "state": "KY",
            "postal_code": "423669642",
            "telephone_number": "270-713-3276",
            "fax_number": "270-246-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDDLEWOOD FARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-313-7920",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Farmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philpot, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.