BEECHMONT PHARMACY, INC. (NPI# 1144734054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144734054 |
| Entity Type | Organization |
| Organization Name | BEECHMONT PHARMACY, INC. |
| Other Organization Name | CLINIC PHARMACY POWDERLY |
| Practice Address |
2025 W Everly Brothers Blvd Powderly KY 42367-5401 |
| Mailing Address |
3403 Marycrest Dr Owensboro KY 42301-6073 |
| Practice Telephone | 2705435910 |
| Practice Fax Number | 2702404248 |
| Mailing Telephone | 2703145440 |
| Mailing Fax Number | 2702404248 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | THERESA POWERS ELLIOTT (CPA/ACCOUNTANT) |
| Authorized Official Telephone | 2706843414 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | BEECHMONT PHARMACY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
P07836 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DEA LICENSE | FC7203134 | 01 |
| Other Name | Type Code |
|---|---|
| Clinic Pharmacy Powderly | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386731537 | Beechmont Pharmacy, Inc. | Pharmacy | 117 N Main St, Greenville, KY 42345-2902 | 2006-10-09 |
| Street Address |
2025 W EVERLY BROTHERS BLVD |
| City | POWDERLY |
| State | KY |
| Zip Code | 42367-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144281791 | Mark A. Tackett | Family Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2006-03-31 |
| 1972151454 | April Hollis | Nurse Practitioner | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2019-08-28 |
| 1770001877 | Owensboro Health Medical Group, Inc. | Internal Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487824553 | Stephen Wood, Od | Optometrist | 609 W Main, Powderly, KY 42367 | 2008-03-05 |
| 1124029160 | Brian Wayne Chaney | Internal Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-01 |
| 1689124141 | Crystal Lynn Ward | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367 | 2016-10-09 |
| 1518959923 | Cheri Lynn Fogle | Nurse Practitioner | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-22 |
| 1023019130 | Ms Community Health LLC | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-10 |
| 1841291390 | Gary D Givens | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-09 |
| 1073514030 | Kristy G Chappell | Family Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-02 |
| 1952453813 | George Stephen Wood | Optometrist | 609 West Main St, Powderly, KY 42367-0100 | 2007-01-18 |
| 1700194388 | Oh Muhlenberg, LLC | Clinic/Center | 2025 W Everly Brothers Blvd Ste 2a, Powderly, KY 42367-5401 | 2010-09-17 |
| 1144228040 | Terry Lynn Mcpherson | Physician Assistant | 2025 W Everly Brothers Blvd Ste 1a, Powderly, KY 42367-5401 | 2005-07-13 |
| Find all providers in zip 42367 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.