Midway Pharmacy of Clarkson Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07254 Issued in KY

Legal business name

MIDWAY PHARMACY OF CLARKSON INC

Doing business as

Midway Pharmacy

Practice address

9847 Elizabethtown Rd
Ste 102
Big Clifty, KY 42712-5880

Phone

(270) 242-4344

Fax

(844) 607-4506

NPI assigned

May 21, 2008

Last updated

Nov 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevor Ray, PHRMD

Title

Secretary

Phone

(270) 242-4344

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• MIDWAY PHARMACY Doing business as

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Edmonson Drug Company Inc

  dba Edmonson Drug Co.

  • Durable Medical Equipment & Medical Supplies
  • Brownsville, KY
  • NPI 1225166440

  Member Of

  NPD member
• Edmonson Drug Company Inc

  dba EDMONSON DRUG Co.

  • Community/Retail Pharmacy
  • Brownsville, KY
  • NPI 1437172418

  Member Of

  NPD member
• Medical Arts Pharmacy of Glasgow, Inc.

  • Community/Retail Pharmacy
  • Glasgow, KY
  • NPI 1629163142

  Member Of

  NPD member

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1912164534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "BIG CLIFTY",
            "state": "KY",
            "postal_code": "427120100",
            "telephone_number": "270-242-4344",
            "fax_number": "844-607-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9847 ELIZABETHTOWN RD",
            "address_2": "STE 102",
            "city": "BIG CLIFTY",
            "state": "KY",
            "postal_code": "427125880",
            "telephone_number": "270-242-4344",
            "fax_number": "844-607-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY PHARMACY OF CLARKSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "270-242-4344",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07254",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100236160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035134",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100165160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsi Kuiper, MD
• Melanie Leigh Lampton, FNP-C
• Owensboro Health Medical Group, Inc. (Owensboro Health Medical Group - Primary Care and Neurology)
• Heather Wyatt Parsley, APRN
• Rennatta Kiper White

• Community/Retail Pharmacy in Big Clifty, KY
• Providers in Big Clifty, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.