MIDWAY PHARMACY OF CLARKSON INC (NPI# 1912164534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912164534 |
| Entity Type | Organization |
| Organization Name | MIDWAY PHARMACY OF CLARKSON INC |
| Other Organization Name | MIDWAY PHARMACY |
| Practice Address |
9847 Elizabethtown Rd Ste 102 Big Clifty KY 42712-5880 |
| Mailing Address |
Po Box 100 Big Clifty KY 42712-0100 |
| Practice Telephone | 2702424344 |
| Practice Fax Number | 8446074506 |
| Mailing Telephone | 2702424344 |
| Mailing Fax Number | 8446074506 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | TREVOR RAY (SECRETARY) |
| Authorized Official Telephone | 2702424344 |
| Authorized Official Credential | PHRMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07254 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100165160 | 05 | |
| PK | 2035134 | 01 | |
| KY | 7100236160 | 05 |
| Other Name | Type Code |
|---|---|
| MIDWAY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863495 | Midway Pharmacy of Clarkson Inc | Pharmacy | 627 W Main St, Clarkson, KY 42726-7044 | 2005-12-23 |
| 1750895090 | Midway Pharmacy of Clarkson Inc | Durable Medical Equipment & Medical Supplies | 1640 2nd St, Henderson, KY 42420-3364 | 2017-11-22 |
| 1215914866 | Midway Pharmacy of Clarkson Inc | Pharmacy | 908 Wallace Ave, Suite 105, Leitchfield, KY 42754-1479 | 2005-12-26 |
| Street Address |
9847 ELIZABETHTOWN RD STE 102 |
| City | BIG CLIFTY |
| State | KY |
| Zip Code | 42712-5880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265956338 | Kimberly Elmore Gowin | Nurse Practitioner | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2017-08-01 |
| 1265849525 | Rennatta Kiper White | Nurse Practitioner | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2014-07-18 |
| 1275762221 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2009-07-13 |
| 1730337726 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2008-09-03 |
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BIG CLIFTY |
| Zip Code | 42712 |
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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.