Tompkinsville Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TOMPKINSVILLE DRUGS LLC

Doing business as

TOMPKINSVILLE DRUG CO

Practice address

1513 Edmonton Rd
Tompkinsville, KY 42167-9402

Phone

(270) 487-6155

Fax

(270) 487-6157

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

John P NixonNPI 1033227103

Title

Owner

Phone

(270) 487-6155

Specialties & licenses 7

Addresses

Other identifiers 4

Other names 1

• TOMPKINSVILLE DRUG CO Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John P Nixon, PHARMACIST

  • Pharmacist
  • Tompkinsville, KY
  • NPI 1033227103
  NPD Authorized official
• Joshua Roper, PHARMD

  • Pharmacist
  • Tompkinsville, KY
  • NPI 1801209598
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1952419046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 EDMONTON RD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421679402",
            "telephone_number": "270-487-6155",
            "fax_number": "270-487-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 EDMONTON RD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421679402",
            "telephone_number": "270-487-6155",
            "fax_number": "270-487-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMPKINSVILLE DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-487-6155"
    },
    "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": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P00880",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029139",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90050865",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54006275",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005086500",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TOMPKINSVILLE",
            "affiliation": "N",
            "endpointDescription": "PHARMACY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1513 EDMONTON RD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TOMPKINSVILLE DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOMPKINSVILLE DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Tompkinsville, KY
• Providers in Tompkinsville, 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 Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.