DSSK PHARMACEUTICALS (NPI# 1205834314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205834314 |
| Entity Type | Organization |
| Organization Name | DSSK PHARMACEUTICALS |
| Other Organization Name | THE MEDICINE SHOPPE 1479 |
| Practice Address |
145 Citizens Ln Suite A Hazard KY 41701-1352 |
| Practice Telephone | 6064352020 |
| Practice Fax Number | 6064878172 |
| Mailing Telephone | 6064352020 |
| Mailing Fax Number | 6064878172 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD R FIELDS (OWNER/CHIEF PHARMACIST) |
| Authorized Official Telephone | 6064352020 |
| Authorized Official Credential | R PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6469 | KY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54032271 | 05 |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe 1479 | Doing Business As Name - Organization |
| Street Address |
145 CITIZENS LN SUITE A |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243433 | Polly C Jones | Physician Assistant | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2005-05-23 |
| 1609270701 | Sondra Pollard | Registered Nurse | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2014-10-17 |
| 1861737686 | Rx Discount Pharmacy, Inc. | Pharmacy | 145 Citizens Ln, Hazard, KY 41701-1320 | 2012-12-05 |
| 1679888119 | James Dean Hall | Nurse Practitioner | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2010-08-09 |
| 1215170261 | Randall C Weist | Massage Therapist | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2009-04-07 |
| 1285884783 | Kentucky Mountain Imaging LLC | General Acute Care Hospital | 145 Citizens Ln, Ste B, Hazard, KY 41701-1320 | 2008-09-22 |
| 1598930026 | Primary Care Centers of Eastern Kentucky, LLC | Dentist | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2008-04-25 |
| 1114107307 | Shannon Martha Herald Combs | Nurse Practitioner | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2007-11-06 |
| 1669486197 | Lia Back | Physician Assistant | 145 Citizens Ln, Hazard, KY 41701-1320 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574270 | Krystal Dawn Anderson | Pharmacist | 241 Elk Run, Hazard, KY 41701-8260 | 2017-01-15 |
| 1225337405 | Jerry Wayne Mullins | Pharmacist | 426 Village Ln, Hazard, KY 41701-9405 | 2011-03-27 |
| 1679704795 | Jeri Lynn Howard | Pharmacist | 210 Black Gold Blvd Ste 104, Hazard, KY 41701-2620 | 2009-08-06 |
| 1912035387 | Charles J. Gross | Pharmacist | 50 Morton Blvd, Hazard, KY 41701-9447 | 2007-02-28 |
| 1346841533 | Bobby Coots | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-11-04 |
| 1972103588 | Michael Mcintosh | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-11-01 |
| 1922616200 | Charles Tyler Wells | Pharmacist | 221 E Main St, Hazard, KY 41701-1920 | 2020-07-22 |
| 1932720257 | Hailey Kuracka | Pharmacist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2020-04-27 |
| 1295355329 | Christopher Case | Pharmacist | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2020-04-18 |
| 1528539103 | Anthony Gene Hurt | Pharmacist | 101 Town and Country Ln Ste 101, Hazard, KY 41701-9524 | 2018-12-07 |
| Find all providers in HAZARD | ||||
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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.