THREE FORKS APOTHECARY, LLC (NPI# 1184797631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184797631 |
| Entity Type | Organization |
| Organization Name | THREE FORKS APOTHECARY, LLC |
| Other Organization Name | OMNICARE OF BEATTYVILLE |
| Practice Address |
1071 Highway 11 N Beattyville KY 41311 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6064640941 |
| Practice Fax Number | 6064640245 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Omnicare of Beattyville | Doing Business As Name - Organization |
| Omnicare of Beattyville #48253 | Doing Business As Name - Organization |
| Street Address |
1071 HIGHWAY 11 N |
| City | BEATTYVILLE |
| State | KY |
| Zip Code | 41311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083051 | Summer Rochelle Shuler | Nurse Practitioner | 1025 Grand Avenue, Beattyville, KY 41311 | 2020-08-11 |
| 1760950380 | C. Napier Ambulance | Ambulance | 17 Willard Johnson Ln, Beattyville, KY 41311 | 2018-11-13 |
| 1245705052 | Caylon Napier | Emergency Medicine | 76 Willard Ln, Beattyville, KY 41311 | 2018-10-08 |
| 1548602501 | Lindsey Kincaid Barrett | Nurse Practitioner | 1027 Highway 11 North, Beattyville, KY 41311 | 2013-07-19 |
| 1598034944 | Kimberly Dianne Dunaway | Contractor | 160 Marcum, Beattyville, KY 41311 | 2011-12-14 |
| 1699071480 | William Jerome Gay | Family Medicine | 1027 Hwy 11 North, Beattyville, KY 41311 | 2011-01-27 |
| 1629309034 | Barbara Dawn Sparks | Physical Therapy Assistant | 28 Railroad Street, Suite B, Beattyville, KY 41311 | 2010-01-25 |
| 1568694933 | Rosemary C Smith | Pharmacist | 1075 Broadway St., Beattyville, KY 41311 | 2009-08-18 |
| 1326273491 | April Rooks | Counselor | 1060 Grand Avenue, Beattyville, KY 41311 | 2009-05-19 |
| 1245471119 | Amy S Jones | Physical Therapist | 28 Railroad St., Suite B, Beattyville, KY 41311 | 2009-03-23 |
| Find all providers in zip 41311 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1871133116 | Tompkinsville Drugs LLC | Pharmacy | 1513 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2020-01-15 |
| 1407498546 | Andrews Packaging Pharmacy, Inc | Pharmacy | 10101 Taylorsville Rd Ste 103, Louisville, KY 40299-3663 | 2019-10-10 |
| 1578104287 | Medwiz of Kentucky, LLC | Pharmacy | 116 Venture Ct Suites 4-5-6, Lexington, KY 40511-2625 | 2019-10-03 |
| 1164994315 | Rice Drugs, Inc. | Pharmacy | 125 Veller Drive, Beaver Dam, KY 42320-8955 | 2018-12-28 |
| 1174946875 | Orion Rx Kentucky LLC | Pharmacy | 13100 Magisterial Dr Ste 102, Louisville, KY 40223-5185 | 2014-01-31 |
| 1053757393 | Pharm-save, Inc. | Pharmacy | 13040 Eastgate Park Way Ste 105, Louisville, KY 40223-3915 | 2013-05-14 |
| 1427328459 | Highland Pharmacy Inc | Pharmacy | 301 Rogers Rd, Glasgow, KY 42141-4110 | 2012-01-06 |
| 1801164348 | Apothecare Pharmacy of Elizabethtown P S C | Pharmacy | 189 E Lincoln Trail Blvd, Radcliff, KY 40160-1253 | 2011-12-12 |
| 1386958866 | Bluegrass Long Term Care | Pharmacy | 2187 Lexington Rd Ste 1, Richmond, KY 40475-7919 | 2010-07-27 |
| Find all providers with the same taxonomy | ||||
| City | BEATTYVILLE |
| Zip Code | 41311 |
Please comment or provide details below to improve the information on THREE FORKS APOTHECARY, LLC.
| 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.