John Luke Warner
Individual provider Active NPI Pharmacist · Jamestown, KY
NPI 1962091322 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1962091322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 020933 (KY)
- Practice address
- 1417 N Main St
Jamestown, KY 42629-2411 - Phone
- (270) 343-4443
- Fax
- (270) 343-4481
- NPI assigned
- Jan 11, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020933 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Drug Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020933 | KY | Yes |
Addresses
Primary practice location
1417 N Main St
Jamestown, KY 42629-2411
Mailing address
PO Box 499
Jamestown, KY 42629-0499
Phone (270) 343-4443
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jtownpharmacy@hotmail.com | Direct |
Other providers in Jamestown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.