NPIMap

Organization Active NPI

Sutton Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lancaster, KY
National Provider Identifier
1942407408
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
90020405 Issued in KY
Legal business name
SUTTON PHARMACY, INC.
Practice address
330 W Maple Ave
Lancaster, KY 40444-1058
Phone
(859) 792-4703
NPI assigned
Jun 28, 2007
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mr. Felix G. Reynolds, RPH
Title
Owner Pharmacist
Phone
(859) 792-4703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 90020405 KY Primary

Addresses

Primary practice location

330 W Maple Ave
Lancaster, KY 40444-1058

Mailing address

330 W Maple Ave
Lancaster, KY 40444-1058
Phone (859) 792-4703

Other identifiers 1

IdentifierTypeStateIssuer
90020405OtherKYKY MEDICAID DME

National Provider Directory

National Provider Directory
Tax ID family
Sutton Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1942407408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W MAPLE AVE",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404441058",
            "telephone_number": "859-792-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W MAPLE AVE",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404441058",
            "telephone_number": "859-792-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTON PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "859-792-4703",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "90020405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID DME",
            "identifier": "90020405",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.