BIG SANDY HEALTH CARE INC (NPI# 1134165152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134165152 |
Entity Type | Organization |
Organization Name | BIG SANDY HEALTH CARE INC |
Other Organization Name | SHELBY VALLEY CLINIC PHARMACY |
Practice Address |
178 Douglas Pkwy Shelby Valley Clinic Pharmacy Pikeville KY 41501-6970 |
Mailing Address |
1709 Ky Route 321 Suite 3 Big Sandy Health Care Inc Prestonsburg KY 41653-9101 |
Practice Telephone | 6066393135 |
Practice Fax Number | 6066393136 |
Mailing Telephone | 6068868546 |
Mailing Fax Number | 6068868548 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. ANCIL W LEWIS (CEO) |
Authorized Official Telephone | 6068868546 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
P06965 | KY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 54008172 | 05 |
Other Name | Type Code |
---|---|
Shelby Valley Clinic Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
1922594506 | Big Sandy Health Care Inc | Clinic/Center | 214 Beriah Blvd, Salyersville, KY 41465 | 2018-07-06 |
1588606370 | Big Sandy Health Care Inc | Clinic/Center | 23 Willow Dr, Auxier, KY 41602-9259 | 2006-06-13 |
1326080110 | Big Sandy Health Care Inc | Clinic/Center | 835 Parkway Drive, Hope Family Medical Center, Salyersville, KY 41465-0157 | 2006-06-13 |
1831661404 | Big Sandy Health Care Inc | Clinic/Center | 50 Weddington Branch Rd Ste B, Pikeville, KY 41501-3296 | 2018-12-20 |
1497206973 | Big Sandy Health Care Inc | Pharmacy | 6500 Highway 645, Suite 110, Inez, KY 41224-2044 | 2016-10-19 |
1154367191 | Big Sandy Health Care Inc | Clinic/Center | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2006-06-20 |
1942246970 | Big Sandy Health Care Inc | Durable Medical Equipment & Medical Supplies | 7629 Ky Route 979, Mud Creek Clinic Pharmacy, Grethel, KY 41631-6304 | 2006-06-20 |
1316981293 | Big Sandy Health Care Inc | Pharmacy | 835 Parkway Drive, Hope Family Pharmacy, Salyersville, KY 41465-0157 | 2006-06-15 |
1700828597 | Big Sandy Health Care Inc | Clinic/Center | 178 Douglas Pkwy, Shelby Valley Clinic, Pikeville, KY 41501-6970 | 2006-06-13 |
Street Address |
178 DOUGLAS PKWY SHELBY VALLEY CLINIC PHARMACY |
City | PIKEVILLE |
State | KY |
Zip Code | 41501-6970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588658116 | Radhika C Cherukuri | Internal Medicine | 178 Douglas Pkwy, Shelby Valley Clinic, Pikeville, KY 41501-6970 | 2005-09-09 |
1164056875 | Sarah Thacker | Nurse Practitioner | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2020-03-03 |
1346713260 | Dena Taylor | Nurse Practitioner | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2019-01-03 |
1699261107 | Kayla Alford | Dentist | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2018-07-09 |
1811390776 | Ashley Dawn Branham | Nurse Practitioner | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2014-10-06 |
1528469020 | Felicia Shanahan | Dentist | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2014-09-16 |
1023421757 | Kasandra Sue Cole | Dentist | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2014-06-10 |
1982977484 | Joyce Ann Little | Nurse Practitioner | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2012-02-14 |
1962726455 | Sara Megan Thompson | Pharmacist | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2010-03-26 |
1073772232 | Kimberly Ryan May | Pharmacist | 178 Douglas Pkwy, Pikeville, KY 41501-6970 | 2008-06-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
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Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801358601 | Pikeville Community Pharmacy | Pharmacy | 50 Weddington Branch Rd Ste B, Pikeville, KY 41501-3296 | 2019-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679131775 | Vaxclinic, LLC | Pharmacy | 1301 Winchester Rd Ste 13, Lexington, KY 40505-4132 | 2019-06-03 |
1780138396 | Oncology Associates Inc Psc | Pharmacy | 2603 Kentucky Ave Ste 403, Paducah, KY 42003-3830 | 2016-08-11 |
1386057990 | University of Kentucky | Pharmacy | 310 South Limestone St, Room C-017, Lexington, KY 40508-3008 | 2014-06-11 |
1194066894 | Sterling Health Solutions, Inc | Pharmacy | 209 North Maysville St, Suite 200, Mt. Sterling, KY 40353 | 2013-03-06 |
1316074990 | Lexington-fayette Urban-county Health Department | Pharmacy | 1640 Bryan Station Rd, Lexington, KY 40505-2144 | 2007-02-28 |
1265584023 | M.t.o. Pharmacy, Inc | Pharmacy | 121 W Virginia Ave Ste E100, Pineville, KY 40977-1600 | 2007-01-18 |
1679660823 | Central City Clinic Pharmacy Inc | Pharmacy | 203 N 2nd St, Central City, KY 42330-1205 | 2006-10-09 |
1679660393 | St. Claire Medical Center Dba Bath County Medical Clinic | Pharmacy | 632 Slate Avenue, Owingsville, KY 40360 | 2006-10-06 |
1619922978 | Walgreen Co. | Pharmacy | 152 N Buckman St, Shepherdsville, KY 40165-5900 | 2006-05-24 |
1467074229 | Pharmdtoyou, LLC | Pharmacy | 233 State Route 56 E, Sebree, KY 42455-9108 | 2020-05-14 |
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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.