Claywell, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07628 Issued in KY

Legal business name

CLAYWELL, INC

Doing business as

Medica Pharmacy Bloomfield

Practice address

204 Chaplin Rd
Bloomfield, KY 40008-7125

Phone

(502) 252-8242

Fax

(502) 252-7556

NPI assigned

May 19, 2014

Last updated

Nov 29, 2021By 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

Alyson Roby, RPH

Title

Pres/Ceo

Phone

(502) 348-6623

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medica Pharmacy Bloomfield Doing business as

Locations

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.

• Ashley Calvert, PHARMD

  • Pharmacist
  • Bloomfield, KY
  • NPI 1215345186
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1952712465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CHAPLIN RD",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "400087125",
            "telephone_number": "502-252-8424",
            "fax_number": "502-252-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHAPLIN RD",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "400087125",
            "telephone_number": "502-252-8242",
            "fax_number": "502-252-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYWELL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "502-348-6623",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07628",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100285370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medica Pharmacy Bloomfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medica Pharmacy Bloomfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Y. Barbee Jr., MD MSPH
• Bloomfield Dental Care, PLLC
• Ashley Calvert, PHARMD
• Benjamin Carter
• Claywell Inc (Medica Pharmacy)
• Jonathan Lee Cornell
• Tami Michelle Grant
• Lori A Haines, D.M.D.
• Margaret Adison Hayden
• Hendren and Lockett PLLC

• Community/Retail Pharmacy in Bloomfield, KY
• Providers in Bloomfield, 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, 2021; 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.