Peyton's Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P00752 Issued in KY

Legal business name

PEYTON'S PHARMACY, INC

Practice address

414 Main St
West Liberty, KY 41472-1014

Phone

(606) 743-3163

Fax

(606) 743-3335

NPI assigned

Nov 25, 2006

Last updated

May 13, 2008By 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

Mr. Steven Wayne Roy, RPH

Title

Owner

Phone

(606) 743-3163

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Hutchinson

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • West Liberty, KY
  • NPI 1396335014
  NPD (past)

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1992871768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414721014",
            "telephone_number": "606-743-3163",
            "fax_number": "606-743-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414721014",
            "telephone_number": "606-743-3163",
            "fax_number": "606-743-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEYTON'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-25",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-743-3163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "9000556200",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P00752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID DME",
            "identifier": "9000556200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54012026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Wayne O'Quinn
• Jessica N Oldfield
• Tami Osborne, APRN
• Brooklyn Patrick-Moore
• Nicole A Perry
• Kory Phelps
• Lydia Phipps, APRN
• Amanda Pieratt
• Sarah Porter
• Elizabeth Potter, ARNP

• Community/Retail Pharmacy in West Liberty, KY
• Providers in West Liberty, 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 May 13, 2008; 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.