Seth Larence Thacker, RPH
Individual provider Active NPI Pharmacist · Flatwoods, KY
NPI 1962098038 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1962098038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 020602 (KY)
- Practice address
- 2409 Argillite Rd
Flatwoods, KY 41139-1955 - Phone
- (606) 833-8027
- Fax
- (606) 833-2567
- NPI assigned
- Dec 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020602 | KY | MD | Pharmacist |
| 03439500 | OH | MD | Pharmacist |
| RO0010918 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky CVS Pharmacy., L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03439500 | OH | |
| Pharmacist | 183500000X | RO0010918 | WV | |
| Pharmacist | 183500000X | 020602 | KY | Yes |
Addresses
Primary practice location
2409 Argillite Rd
Flatwoods, KY 41139-1955
Mailing address
419 11TH Ave
Huntington, WV 25701-3118
Phone (304) 544-8425
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rx02380@cvshealth.com |
Other providers in Flatwoods, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2020. 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.