David Owen Eubank, RPH
Individual provider Active NPI Pharmacist · Greensburg, KY
NPI 1982969598 · NPPES record last updated Jul 10, 2012
Key facts
- NPI
- 1982969598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 008685 (KY)
- Practice address
- 265 Industrial Park Rd
Greensburg, KY 42743-1400 - Phone
- (270) 932-3100
- Fax
- (270) 932-3104
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 008685 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients | |
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 008685 | KY | Yes |
Addresses
Primary practice location
265 Industrial Park Rd
Greensburg, KY 42743-1400
Mailing address
401 Jamestown St
Columbia, KY 42728-1327
Phone (270) 634-1576
Other providers in Greensburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2012. 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.