Capps Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Burkesville, KY
NPI 1891851002 · NPPES record last updated Mar 20, 2014
Key facts
- NPI
- 1891851002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PO7550 (KY)
- Legal business name
- CAPPS PHARMACY INC
- Practice address
- 331 Keen St
Burkesville, KY 42717 - Phone
- (270) 864-1606
- Fax
- (270) 864-1608
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Rick Neikirk
- Title
- Ceo
- Phone
- (270) 864-1606
Corporate family (same tax ID) 1
Member of 1
Practitioners 2
-
Mark Anthony Capps, RPH
-
Kristy Flowers Poindexter, PHARM.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930015448 | KY | DME Supplier - Pharmacy | 6204957020 | Practice locations: Burkesville, KY |
National Provider Directory
- Tax ID family
- Capps Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PO7550 | KY | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
331 Keen St
Burkesville, KY 42717
Mailing address
PO Box 418
Burkesville, KY 42717-0418
Phone (270) 864-1606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2032747 | Other | PK | |
| 54033154 | Medicaid | KY |
Other names
- CUMBERLAND COUNTY PHARMACY
Other providers in Burkesville, KY
- Dawn Rita Allen
- Whitney N Barger
- Chastity S Brown
- Cecelia Dawn Bunch
- Burkesville Medical Supply, Inc
- Capps Pharmacy Inc
- Mark Anthony Capps
- Larry David Cassady
- Natalie Frances Craft
- Cumberland Adult Day Health Care Center
All providers in Burkesville, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.