Appalachian Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07997 Issued in KY

Legal business name

APPALACHIAN DRUG LLC

Practice address

9613 Millard Hwy
Pikeville, KY 41501-8162

Phone

(606) 754-5186

Fax

(606) 754-5188

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Christopher BentleyNPI 1104313212

Title

Owner

Phone

(606) 794-9314

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Appalachian Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Christopher Tyler Bentley

  • Pharmacist
  • Pikeville, KY
  • NPI 1104313212
  NPD Authorized official

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1962906693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 MILLARD HWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415018162",
            "telephone_number": "606-754-5186",
            "fax_number": "606-754-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 MILLARD HWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415018162",
            "telephone_number": "606-754-5186",
            "fax_number": "606-754-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-794-9314"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176775",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100522420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Appalachian Regional Healthcare Inc.
• Appalachian Rehabilitation Team, Inc
• Peter James Armstrong, MD

• All providers in Pikeville, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.