Active NPI
Bobby Clayton McQueen, RPH
- Pharmacist
- Beattyville, KY
National Provider Identifier
1952517849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 009900
- Practice address
- 111 River Drive
Beattyville, KY 41311 - Phone
- (606) 464-3656
- Fax
- (606) 464-9002
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 009900 | KY | Primary |
Addresses
Primary practice location
111 River Drive
Beattyville, KY 41311
Mailing address
RR 1 Box 50 B
Booneville, KY 41314-9409
Phone (606) 593-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009900 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Drug, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952517849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 50 B",
"city": "BOONEVILLE",
"state": "KY",
"postal_code": "413149409",
"telephone_number": "606-593-7133",
"fax_number": "606-464-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 RIVER DRIVE",
"city": "BEATTYVILLE",
"state": "KY",
"postal_code": "41311",
"telephone_number": "606-464-3656",
"fax_number": "606-464-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUEEN",
"first_name": "BOBBY",
"middle_name": "CLAYTON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "009900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beattyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.