LEWIS COUNTY PRIMARY CARE CENTER, INC. (NPI# 1477564987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477564987 |
| Entity Type | Organization |
| Organization Name | LEWIS COUNTY PRIMARY CARE CENTER, INC. |
| Other Organization Name | TOLLESBORO CLINIC PHARMACY |
| Practice Address |
17521 W Ky Hwy 9 Tollesboro KY 41189 |
| Mailing Address |
Po Box 220 Tollesboro KY 41189-0220 |
| Practice Telephone | 6067982072 |
| Practice Fax Number | 6067984276 |
| Mailing Telephone | 6067982072 |
| Mailing Fax Number | 6067984276 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | CHAD EVANS (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6069560188 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P06782 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54003603 | 05 | |
| PK | 2034000 | 01 |
| Other Name | Type Code |
|---|---|
| Tollesboro Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891083036 | Lewis County Primary Care Center, Inc. | Clinic/Center | 142 Depot Street, South Shore, KY 41175 | 2011-07-20 |
| 1992330997 | Lewis County Primary Care Center, Inc. | Clinic/Center | 502 S 2nd St, Ripley, OH 45167-1306 | 2020-03-10 |
| 1629542469 | Lewis County Primary Care Center, Inc. | Pharmacy | 432 16th St, Ashland, KY 41101-7693 | 2019-01-15 |
| 1235688920 | Lewis County Primary Care Center, Inc. | Pharmacy | 142 Depot Dr, South Shore, KY 41175-9306 | 2016-09-23 |
| 1902206857 | Lewis County Primary Care Center, Inc. | Clinic/Center | 432 16th St, Ashland, KY 41101-7693 | 2014-08-28 |
| 1346513710 | Lewis County Primary Care Center, Inc. | Pharmacy | 520 Elizaville Ave, Flemingsburg, KY 41041-1141 | 2012-02-16 |
| 1669650966 | Lewis County Primary Care Center, Inc. | Pharmacy | 927 Kenton Station Dr, Maysville, KY 41056-9617 | 2008-02-08 |
| 1184749277 | Lewis County Primary Care Center, Inc. | Clinic/Center | 520 Elizaville Ave, Flemingsburg, KY 41041-1141 | 2007-03-20 |
| 1205951084 | Lewis County Primary Care Center, Inc. | Clinic/Center | 17521 W Ky 9, Tollesboro, KY 41189 | 2007-03-20 |
| 1255489910 | Lewis County Primary Care Center, Inc. | Clinic/Center | 927 Kenton Station Dr, Maysville, KY 41056-9609 | 2007-01-08 |
| Street Address |
17521 W KY HWY 9 |
| City | TOLLESBORO |
| State | KY |
| Zip Code | 41189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386714244 | Penny Sue Liles | Pharmacist | Route 1 Box 1005, Tollesboro, KY 41189 | 2006-11-08 |
| 1205951084 | Lewis County Primary Care Center, Inc. | Clinic/Center | 17521 W Ky 9, Tollesboro, KY 41189 | 2007-03-20 |
| 1629688973 | Heather Barnoski | Nurse Practitioner | 12072 Ky 57, Tollesboro, KY 41189-8529 | 2020-08-02 |
| 1811543630 | Angela Faye Poston | Nurse Practitioner | 127 E Evans Rd, Tollesboro, KY 41189-8626 | 2019-08-16 |
| 1821608415 | Taylor Douglas | Pharmacist | 470 Garrad Rd, Tollesboro, KY 41189-8653 | 2020-08-07 |
| 1598162976 | Trayla Liles I | Specialist/Technologist | 1698 Burtonville Rd, Tollesboro, KY 41189-8749 | 2014-12-01 |
| 1538495932 | Lewis County Health Department | Public Health or Welfare | 2431 W Ky 10, Tollesboro, KY 41189-8827 | 2009-10-20 |
| 1871565549 | Patti S Poczatek | Family Medicine | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-06 |
| 1043283252 | Erin M Himes | Physician Assistant | 17521 W Ky 9, Tollesboro, KY 41189-9711 | 2006-02-08 |
| 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] |
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| 1144828724 | Pharmacy Care Center | Pharmacy | 10616 South Ky Hwy 15, Scuddy, KY 41760 | 2020-10-15 |
| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | TOLLESBORO |
| Zip Code | 41189 |
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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.