CENTRAL CITY CLINIC PHARMACY, INC. (NPI# 1205967395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205967395 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY CLINIC PHARMACY, INC. |
| Practice Address |
203 N 2nd St Central City KY 42330-1287 |
| Practice Telephone | 2707544300 |
| Practice Fax Number | 2707549881 |
| Mailing Telephone | 2707544300 |
| Mailing Fax Number | 2707549881 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | ELIZABETH ANN GENTRY (SECRETARY) |
| Authorized Official Telephone | 2707544300 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE | 0290230001 | 01 |
| KY | 90040890 | 05 | |
| KY | STORE PERMIT # | P00339 | 01 |
| KY | NABP | 1804031 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063553345 | Central City Clinic Pharmacy, Inc. | Pharmacy | 3901 Us Hwy 41 S, Beechmont, KY 42323 | 2007-02-09 |
| 1578066072 | Central City Clinic Pharmacy, Inc. | Pharmacy | 510 Ruby Dr, Madisonville, KY 42431-2168 | 2018-03-12 |
| Street Address |
203 N 2ND ST |
| City | CENTRAL CITY |
| State | KY |
| Zip Code | 42330-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679660823 | Central City Clinic Pharmacy Inc | Pharmacy | 203 N 2nd St, Central City, KY 42330-1205 | 2006-10-09 |
| 1679933626 | Carson Teague | Nurse Practitioner | 203 N 2nd St, Central City, KY 42330-1205 | 2016-03-03 |
| 1043493539 | Ms Community Health | Radiologic Technologist | 203 N 2nd St, Central City, KY 42330-1287 | 2007-12-07 |
| 1003905100 | Evan M Sweeney | Pharmacist | 203 N 2nd St, Central City, KY 42330-1205 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194200550 | Cross Services, Inc | Pharmacy | 1603 West Everly Brothers Blvd, Suite 2d, Central City, KY 42330 | 2018-10-01 |
| 1154679520 | Eades Family Dentistry | Dentist | 1603 W Everly Bros Blvd Suite 2a, Central City, KY 42330 | 2012-08-16 |
| 1760683874 | Holly Ann Courtney | Pharmacist | 102 West Broad Street, Central City, KY 42330 | 2007-05-29 |
| 1427274703 | Shirley Brewer Hunt | Dentist | 200 W Reservoir, Central City, KY 42330 | 2007-04-17 |
| 1053537332 | James Brewer Jr. | Dentist | 200 West Reservoir, Central City, KY 42330 | 2007-04-17 |
| 1861514226 | Carrie Lynn Mcpherson | Speech-Language Pathologist | 906 W Everly Brothers Blvd, Central City, KY 42330 | 2007-04-05 |
| 1134224140 | Gerald Wayne Joines II | Chiropractor | 1731 W Everly Bros Blvd, Central City, KY 42330 | 2006-09-14 |
| 1891800454 | David Scott Morehead | Dentist | 300 West Broad St, Central City, KY 42330 | 2006-08-21 |
| 1467823328 | A New Start II, LLC | Counselor | 222 Phillip Stone Way, Central City, KY 42330 | 2015-10-16 |
| 1922423763 | Lori Humphries | Counselor | 109 S 2nd St, Central City, KY 42330 | 2014-03-04 |
| Find all providers in zip 42330 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720005143 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1725 W Everly Brothers Blvd, Central City, KY 42330-1833 | 2006-07-16 |
| 1497013742 | Audibel Hearing Aid Center | Durable Medical Equipment & Medical Supplies | 1001 W Everly Brothers Blvd, Central City, KY 42330-1819 | 2012-04-24 |
| 1639190093 | Pooles Pharmacy Care Inc | Durable Medical Equipment & Medical Supplies | 102 W Broad St, Central City, KY 42330-1538 | 2006-07-21 |
| 1679552004 | Central City Family Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 402 E Main St, Central City, IA 52214-9454 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029254 | Vizions Mobility LLC | Durable Medical Equipment & Medical Supplies | 14111 Spring Mill Rd, Louisville, KY 40245-7490 | 2020-09-30 |
| 1467066225 | Legacy Oxygen and Home Care Equipment LLC | Durable Medical Equipment & Medical Supplies | 101 Nebo Rd Ste E&f, Madisonville, KY 42431-8896 | 2020-08-31 |
| 1124646633 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1030 Monarch St Ste P1, Lexington, KY 40513-1843 | 2020-07-10 |
| 1043838014 | Restoration Dme Supplies, LLC | Durable Medical Equipment & Medical Supplies | 326 N Mulberry St Ste 105, Elizabethtown, KY 42701-1880 | 2020-07-07 |
| 1366064701 | Dixie Infusion Pharmacy 2, LLC | Durable Medical Equipment & Medical Supplies | 124 N Main St Ste 100, Smiths Grove, KY 42171-8323 | 2020-05-08 |
| 1023630472 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 604 South Fort Thomas Avenue, Fort Thomas, KY 41075 | 2020-05-08 |
| 1902425655 | Mercy LLC | Durable Medical Equipment & Medical Supplies | 501 Darby Creek Rd Ste 5, Lexington, KY 40509-1605 | 2020-04-13 |
| 1538797097 | Amc Health Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8053 Warwick Ave, Louisville, KY 40222-4419 | 2020-03-31 |
| 1477187920 | Ellis & Badenhausen Orthopaedics, Psc | Durable Medical Equipment & Medical Supplies | 6768 Bardstown Rd, Louisville, KY 40291-3048 | 2020-02-24 |
| 1780215202 | Hbg Solutions LLC | Durable Medical Equipment & Medical Supplies | 415 Chinoe Rd, Lexington, KY 40502-2351 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL CITY |
| Zip Code | 42330 |
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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.