Crestville Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CRESTVILLE DRUGS INC

Doing business as

THE PHARMACY AT TANNER STATION

Practice address

1980 N Bend Rd
Ste C
Hebron, KY 41048-9123

Phone

(859) 689-9084

Fax

(859) 689-9444

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Denise Schickling, RPH

Title

President

Phone

(859) 341-1666

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE PHARMACY AT TANNER STATION Doing business as

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992747455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 N BEND RD",
            "address_2": "STE C",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N BEND RD",
            "address_2": "STE C",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489123",
            "telephone_number": "859-689-9084",
            "fax_number": "859-689-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVILLE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHICKLING",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-341-1666",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "PO7056",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1829146",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54011119",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PHARMACY AT TANNER STATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hebron, KY
• Providers in Hebron, 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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.