CCPB (NPI# 1275178576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275178576 |
| Entity Type | Organization |
| Organization Name | CCPB |
| Other Organization Name | CLINTON COUNTY PHARMACY |
| Practice Address |
903 N Cross St Albany KY 42602-1617 |
| Mailing Address |
998 Concord Rd Albany KY 42602-6571 |
| Practice Telephone | 6063870222 |
| Practice Fax Number | 6063870032 |
| Mailing Telephone | 6066883112 |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | DR. ROBERT KEETON HUFF (PHARMACIST) |
| Authorized Official Telephone | 6066883113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | Pharmacy Service Providers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Clinton County Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CCPB HOLDINGS LLC | 4215 Greenway, Baltimore, Maryland 21218 |
| Virginia Business Entities | CCPB LLC | 1230 Peachtree St Ne Ste 3100, Atlanta, Georgia 30309-3550 |
| Street Address |
903 N CROSS ST |
| City | ALBANY |
| State | KY |
| Zip Code | 42602-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649707571 | Sarah Stockton Dba Stockton Speech Therapy | Speech-Language Pathologist | 330 N. Clearfork Rd., Albany, KY 42602 | 2017-05-23 |
| 1205289709 | Sarah Stockton | Speech-Language Pathologist | 18 Clearfork Rd, Albany, KY 42602 | 2016-07-20 |
| 1093164436 | Pagie Denney-jones | Social Worker | 104 Washington St., Albany, KY 42602 | 2016-06-07 |
| 1255717278 | Shearer Drug Inc | Durable Medical Equipment & Medical Supplies | 260 Burkesville Rd, Albany, KY 42602 | 2015-07-31 |
| 1790030625 | Jennifer Ann Dyer | Pharmacist | 800 North Cross Street, Albany, KY 42602 | 2012-07-17 |
| 1235364076 | Lake Cumberland District Health Dept | Public Health or Welfare | 650 High School Dr., Albany, KY 42602 | 2009-05-22 |
| 1316110034 | Lydia Sue Irwin | Social Worker | 218 Irwin Daniels Road, Albany, KY 42602 | 2008-04-03 |
| 1205975414 | Horizon Adult Health Care LLC | Case Management | 97 Foothills Avenue, Albany, KY 42602 | 2007-02-05 |
| 1104973635 | Clinton County Board of Education | Local Education Agency (LEA) | Clinton County Board of Education, North Highway 127, Albany, KY 42602 | 2007-01-05 |
| 1023114451 | Susan Elayne Cash | Dentist | 111 Cross St, Albany, KY 42602 | 2006-09-15 |
| Find all providers in zip 42602 | ||||
| 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 |
|---|---|---|---|---|
| 1144854191 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 260 S Pearl St Ste P, Albany, NY 12202-1809 | 2020-02-28 |
| 1801451919 | Optum Telemed, Inc. | Durable Medical Equipment & Medical Supplies | 2021 N Slappey Blvd Ste 203, Albany, GA 31701-1001 | 2019-05-03 |
| 1578088795 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 911 Central Ave Ste 10, Albany, NY 12206-1304 | 2017-08-09 |
| 1265962906 | Shoes and Medical Product Solutions LLC | Durable Medical Equipment & Medical Supplies | 1715 E Oglethorpe Blvd, Albany, GA 31705 | 2017-06-15 |
| 1255867545 | David Sampson | Durable Medical Equipment & Medical Supplies | 208 Adelyn Rd, Albany, GA 31705-2308 | 2017-05-04 |
| 1164889580 | Georgia Bracing Center | Durable Medical Equipment & Medical Supplies | 2021 N Slappey Blvd, Ste 203, Albany, GA 31701-1001 | 2016-01-16 |
| 1962872762 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2586 N Slappey Blvd, Albany, GA 31701-1012 | 2015-10-06 |
| 1255717278 | Shearer Drug Inc | Durable Medical Equipment & Medical Supplies | 260 Burkesville Rd, Albany, KY 42602 | 2015-07-31 |
| 1841673811 | Optum Infusion Services 100, Inc. | Durable Medical Equipment & Medical Supplies | 25 Post Rd, Ste. 5, Albany, NY 12205-4781 | 2015-07-08 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| Find all providers in ALBANY | ||||
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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.