OPTIMUM WELLNESS CENTER (NPI# 1003446162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003446162 |
| Entity Type | Organization |
| Organization Name | OPTIMUM WELLNESS CENTER |
| Practice Address |
716 Broadway St Paintsville KY 41240-1357 |
| Practice Telephone | 6067922330 |
| Mailing Telephone | 6062202553 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-06-20 |
| Authorized Official Name | MR. MATTHEW SAMMONS (OWNER) |
| Authorized Official Telephone | 6062202553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100648130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548597453 | Optimum Wellness Center | Massage Therapist | 630 Grand Ave Ste F, Carlsbad, CA 92008-2364 | 2009-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OPTIMUM WELLNESS CENTER INCORPORATED | 1109 Washington St, Waukegan, IL 60085-5301 |
| Street Address |
716 BROADWAY ST |
| City | PAINTSVILLE |
| State | KY |
| Zip Code | 41240-1357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508156282 | Matthew Sammons | Pharmacist | 716 Broadway St, Paintsville, KY 41240-1357 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337579 | Angela Suzanne Fitch | Nurse Practitioner | 604 James S. Trimble Blvd, Suite 2, Paintsville, KY 41240 | 2018-08-27 |
| 1013446764 | Jimmy Woodrow Arnett | Counselor | 1032 Broadway St, Paintsville, KY 41240 | 2017-06-07 |
| 1073982914 | Heather Dawn Eperson | Nurse Practitioner | 604 James S Trimble Blvd, Suite 1, Paintsville, KY 41240 | 2015-09-22 |
| 1568808640 | Bhg Xxiv, LLC | Case Management | 628 Jefferson Avenue, Paintsville, KY 41240 | 2013-05-16 |
| 1275882375 | Carol Booth | Speech-Language Pathologist | 1025 Euclid Avenue, Paintsville, KY 41240 | 2012-09-05 |
| 1467601898 | Johnson County Health Dept | Public Health or Welfare | 649 Us Hwy 23 South, Staffordsville, KY 41240 | 2008-09-10 |
| 1033367560 | Johnson County Health Dept | Public Health or Welfare | 257 North Mayo Trail, Paintsville, KY 41240 | 2008-09-09 |
| 1770730038 | Johnson County Health Dept | Public Health or Welfare | 1715 Euclid Ave., Paintsville, KY 41240 | 2008-08-19 |
| 1720234958 | Johnson County Health Dept | Public Health or Welfare | 251 North Mayo Trail, Paintsville, KY 41240 | 2008-08-07 |
| 1689795619 | Crigger Mullins Speech Therapy Services Psc | Speech-Language Pathologist | 512 Elm St, Paintsville, KY 41240 | 2007-04-03 |
| Find all providers in zip 41240 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770648107 | Arh Tug Valley Health Services, Inc. | Pharmacy | 713 Broadway, Suite 101, Paintsville, KY 41240 | 2006-12-26 |
| 1982718961 | Broadway Clinic Pharmacy Inc | Pharmacy | 607 S Mayo Trl, Paintsville, KY 41240 | 2006-08-18 |
| 1568473072 | Mountain Apothecary | Pharmacy | 834 S Mayo Trl, Paintsville, KY 41240-1384 | 2006-08-10 |
| 1366000747 | Arh Tug Valley Health Services, Inc. | Pharmacy | 713 Broadway St Ste 101, Paintsville, KY 41240-1465 | 2019-05-31 |
| 1326079393 | K Mart Corp | Pharmacy | 334 N Mayo Trl, Paintsville, KY 41240-1804 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | PAINTSVILLE |
| Zip Code | 41240 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.