Active NPI
Medical Center Pharmacy, Inc.
- Community/Retail Pharmacy
- Powderly, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MEDICAL CENTER PHARMACY, INC.
- Practice address
- 1010 Medical Center Dr
Powderly, KY 42367-5463 - Phone
- (270) 338-9993
- Fax
- (270) 338-9903
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 7, 2023
- 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
- Elizabeth A Gentry, PHARM
- Title
- Secretary
- Phone
- (270) 684-3414
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1010 Medical Center Dr
Powderly, KY 42367-5463
Mailing address
1010 Medical Center Dr
Powderly, KY 42367-5463
Phone (270) 338-9993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100200080 | Medicaid | KY | |
| P06622 | Other | KY | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251211001395 | KY | Part B Supplier - Pharmacy | 2264641059 | Practice locations: Powderly, KY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Powderly, KY
- NPI 1376762146
Member Of
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Central City, KY
- NPI 1336238146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1912065087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MEDICAL CENTER DR",
"city": "POWDERLY",
"state": "KY",
"postal_code": "423675463",
"telephone_number": "270-338-9993",
"fax_number": "270-338-9903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 MEDICAL CENTER DR",
"city": "POWDERLY",
"state": "KY",
"postal_code": "423675463",
"telephone_number": "270-338-9993",
"fax_number": "270-338-9903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CENTER PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GENTRY",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "270-684-3414",
"authorized_official_credential": "PHARM"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100200080",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "P06622",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powderly, KY
- Sabrina Kay Kirk, APRN
- Andrew John Lopez, MD
- M S Community Health
- M S Community Health
- Medical Center Pharmacy, Inc.
- Ms Community Health
- Ms Community Health (Muhlenberg Medical Center)
- Ms Community Health LLC (Muhlenberg Medical Center)
- Muhlenberg Community Hospital Inc (Muhlenberg Surgical Associates)
- Muhlenberg County Schools
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.