CCC MANAGEMENT, LLC (NPI# 1306309067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306309067 |
| Entity Type | Organization |
| Organization Name | CCC MANAGEMENT, LLC |
| Other Organization Name | GILLUM DRUG |
| Practice Address |
1237 Carter Ave Ashland KY 41101 |
| Mailing Address |
1237 Carter Ave Ashland KY 41101-7514 |
| Practice Telephone | 6063935588 |
| Mailing Telephone | 6063935588 |
| Mailing Fax Number | 6063933947 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | AMANDA DAWN GILLUM (OWNER MANAGER) |
| Authorized Official Telephone | 6063935588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Gillum Drug | Doing Business As Name - Organization |
| Street Address |
1237 CARTER AVE |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| 1922246594 | Matthew Lewis | Family Medicine | 2910 Carter Ave., Ashland, KY 41101 | 2009-02-04 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1871076117 | Aroostook Apothecary LLC | Pharmacy | 73 Presque Isle Road, Ashland, ME 04732 | 2018-09-12 |
| 1194108902 | Ashland Pharmacy LLC | Pharmacy | 16068 Boundary Dr, Ashland, MS 38603-7737 | 2015-06-30 |
| 1457631079 | Pcms, LLC | Pharmacy | 9555 Kings Charter Dr, Suite D, Ashland, VA 23005-7994 | 2011-08-26 |
| 1689981060 | Tamaqua Pharmacy LLC | Pharmacy | 626 Centre St, Ashland, PA 17921-1332 | 2010-09-08 |
| 1235205154 | Ashland Drugs Inc | Pharmacy | 15917 Boundary Street, Ashland, MS 38603 | 2006-11-24 |
| 1588764914 | Cvs Pharmacy Inc | Pharmacy | 47 Pond St, Kings Crossing Plz, Ashland, MA 01721-2054 | 2006-09-25 |
| 1194829861 | Virginia Cvs Pharmacy LLC | Pharmacy | 133 Junction Dr, Ashland, VA 23005-2253 | 2006-09-12 |
| 1013010750 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 1221 Lexington Ave, Ashland, KY 41101-2648 | 2006-09-07 |
| 1669414967 | Newport News Pharmacy LLC | Pharmacy | 9555 Kings Charter Dr Ste D, Ashland, VA 23005-7994 | 2006-06-12 |
| 1629542469 | Lewis County Primary Care Center, Inc. | Pharmacy | 432 16th St, Ashland, KY 41101-7693 | 2019-01-15 |
| Find all providers in ASHLAND | ||||
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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.