BLACK GOLD PHARMACY LLC (NPI# 1487897088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487897088 |
Entity Type | Organization |
Organization Name | BLACK GOLD PHARMACY LLC |
Other Organization Name | BLACK GOLD PHARMACY |
Practice Address |
173 Citizens Lane Hazard KY 41701 |
Practice Telephone | 6064360045 |
Enumeration Date | 2009-04-13 |
Last Update Date | 2009-04-29 |
Authorized Official Name | HOWARD ROBINSON (PHARMACIST/PIC) |
Authorized Official Telephone | 6064360045 |
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 |
P07333 | KY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 1831165 | 01 |
Other Name | Type Code |
---|---|
Black Gold Pharmacy | Doing Business As Name - Organization |
Street Address |
173 CITIZENS LANE |
City | HAZARD |
State | KY |
Zip Code | 41701 |
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 | 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 |
---|---|---|---|---|
1528431608 | Mountain Community Pharmacy LLC | Pharmacy | 1908 N Main St Ste 108, Hazard, KY 41701-2505 | 2015-11-11 |
1376949362 | Pharmacy Care Center | Pharmacy | 101 Town and Country Ln Ste 101, Hazard, KY 41701-9524 | 2014-11-18 |
1003217241 | Rx Discount Pharmacy, Inc. | Pharmacy | 1908 N Main St Ste 180, Hazard, KY 41701-2505 | 2014-09-08 |
1881839637 | Family Pharmacy of Perry County LLC | Pharmacy | 747 Morton Blvd, Hazard, KY 41701-9469 | 2008-12-09 |
1194828848 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 30 S Ky Highway 15, Hazard, KY 41701-6029 | 2006-09-07 |
1326093162 | Rx Discount Pharmacy Inc | Pharmacy | 40 Grand Vue Plz, Hazard, KY 41701-6841 | 2006-05-23 |
1407484199 | Hometown Pharmacy of Hazard LLC | Pharmacy | 221 E Main St, Hazard, KY 41701-1920 | 2020-03-30 |
1942792536 | Appalachian Regional Healthcare, Inc | Pharmacy | 181 Roy Campbell Dr, Hazard, KY 41701-9407 | 2018-05-31 |
1902349996 | Pharmacy Care Centers Clinic LLC | Pharmacy | 101 Town and Country Ln, Suite 101, Hazard, KY 41701-9524 | 2016-11-23 |
1245650647 | Rx Discount Pharmacy Inc | Pharmacy | 132 Grand Vue Plz, Hazard, KY 41701-6842 | 2014-04-24 |
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.