CLAY DRUG STORE INC (NPI# 1740397876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740397876 |
| Entity Type | Organization |
| Organization Name | CLAY DRUG STORE INC |
| Other Organization Name | CLAY DRUG STORE |
| Practice Address |
9055 St Rt 132 W Clay KY 42404 |
| Mailing Address |
Po Box 8 Clay KY 42404-0008 |
| Practice Telephone | 2706642270 |
| Practice Fax Number | 2706646633 |
| Mailing Telephone | 2706642270 |
| Mailing Fax Number | 2706646633 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | WHITNEY WRIGHT (OWNER,PIC,AO) |
| Authorized Official Telephone | 2706642270 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P06492 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2123849 | 01 | |
| KY | 7100112330 | 05 |
| Other Name | Type Code |
|---|---|
| Clay Drug Store | Doing Business As Name - Organization |
| Street Address |
9055 ST RT 132 W |
| City | CLAY |
| State | KY |
| Zip Code | 42404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942523634 | Sheree Ann Clark | Occupational Therapy Assistant | 323 Diamond Green Grove Road, Clay, KY 42404 | 2010-03-09 |
| 1831233923 | Baptist Health Madisonville Inc | General Practice | 9086 St. Rt. 132w, Clay, KY 42404 | 2007-02-20 |
| 1174037790 | Kassy Rickard | Nurse Practitioner | 9086 State Route 132 West, Clay, KY 42404 | 2017-11-17 |
| 1053973875 | Rebecca Lynn Braden | Nurse Practitioner | 164 College St, Clay, KY 42404-2002 | 2019-07-02 |
| 1184816910 | Green River District Health Department | Public Health or Welfare | 210 College St, Clay, KY 42404-2004 | 2007-08-15 |
| 1548470685 | Edgardo L Montemayor Jr. | Family Medicine | 9086 State Route 132 West, Clay, KY 42404-2172 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1508466863 | Shellie Shawn Cutlip | Technician | 136 Black Bear Dr, Clay, WV 25043-6054 | 2020-10-27 |
| 1528674645 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 4145 Route 31, Clay, NY 13041-8758 | 2020-09-23 |
| 1871108225 | Nicki Delvecchio | Dietitian, Registered | 8809 Norcross Dr, Clay, NY 13041-2556 | 2020-09-12 |
| 1891324240 | Crystal Lynn Booth | Technician | 5510 Fortuna Pkwy, Clay, NY 13041-8929 | 2020-04-07 |
| 1033776562 | Ray Brock Olson | Physician Assistant | 8046 Evesborough Dr, Clay, NY 13041-9139 | 2019-05-20 |
| 1326531187 | Deirdre Anne Smith | Dietitian, Registered | 9690 Horseshoe Island Rd, Clay, NY 13041-9621 | 2018-06-07 |
| 1952800070 | Sue P Gardner | Social Worker | 8214 Sarona Ln, Clay, NY 13041-9110 | 2018-02-04 |
| 1700393634 | Bryan Scott Cardinale | Non-emergency Medical Transport (VAN) | 5096 Hackberry Ln, Clay, NY 13041-8910 | 2017-12-31 |
| Find all providers in CLAY | ||||
| 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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|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 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 |
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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.