Pooles Pharmacy Care Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07141 Issued in KY

Legal business name

POOLES PHARMACY CARE INC

Doing business as

Pooles Pharmacy Care

Practice address

311 Henton St
Livermore, KY 42352-2126

Phone

(270) 278-5537

Fax

(270) 278-5539

NPI assigned

Sep 29, 2006

Last updated

Aug 26, 2015By 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

Lisa Poole, BSMT

Title

Owner/Cfo.Ao

Phone

(270) 754-1545

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• POOLES PHARMACY CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Poole's' Pharmacy Care, Inc.

  dba Poole's Pharmacy Care

  • Community/Retail Pharmacy
  • Owensboro, KY
  • NPI 1861413221

  9335187012

  Same PAC ID
• Pooles Pharmacy Care Inc

  dba Pooles Pharmacy Care

  • Community/Retail Pharmacy
  • Central City, KY
  • NPI 1639190093

  9335187012

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1972695427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 HENTON ST",
            "address_2": "P.O. BOX 91",
            "city": "LIVERMORE",
            "state": "KY",
            "postal_code": "423522126",
            "telephone_number": "270-278-5537",
            "fax_number": "270-278-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HENTON ST",
            "city": "LIVERMORE",
            "state": "KY",
            "postal_code": "423522126",
            "telephone_number": "270-278-5537",
            "fax_number": "270-278-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLES PHARMACY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/CFO.AO",
        "authorized_official_telephone_number": "270-754-1545",
        "authorized_official_credential": "BSMT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54012497",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90013780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POOLES PHARMACY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Nicole Brown, PHARMD
• Donna Curry, ARNP
• Owensboro Medical Practice, PLLC (The McLean Clinic)
• Pooles Pharmacy Care Inc (Poole's Pharmacy Care Health Solutions)
• Ralph William Thacker Jr., D.M.D.

• Community/Retail Pharmacy in Livermore, KY
• Providers in Livermore, 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 Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.