LAKER DRUG INC. (NPI# 1992718084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992718084 |
| Entity Type | Organization |
| Organization Name | LAKER DRUG INC. |
| Other Organization Name | LAKER DRUG |
| Practice Address |
92 Joe T Petty Dr Russell Springs KY 42642-8543 |
| Practice Telephone | 2708667787 |
| Mailing Telephone | 2708667787 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | TIMOTHY D CARNES (PRESIDENT) |
| Authorized Official Telephone | 2703432336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | P06839 | KY | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P06839 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54004593 | 05 | |
| KY | 90009507 | 05 |
| Other Name | Type Code |
|---|---|
| laker drug | Doing Business As Name - Organization |
| Street Address |
92 JOE T PETTY DR |
| City | RUSSELL SPRINGS |
| State | KY |
| Zip Code | 42642-8543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938733 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Suite 700, Russell Springs, KY 42642-8543 | 2005-08-09 |
| 1295245025 | Russell County Hospital | Clinic/Center | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2017-10-06 |
| 1922315266 | Terani Robertson | Nurse Practitioner | 92 Joe T Petty Dr, Suite 400, Russell Springs, KY 42642-8544 | 2010-09-08 |
| 1508172701 | Cumberland Foot and Ankle Center | Podiatrist | 92 Joe T Petty Dr, Russell Springs, KY 42642-8544 | 2010-08-25 |
| 1679778377 | Russell County Hospital | Clinical Medical Laboratory | 92 Joe T Petty Dr, Suite 500, Russell Springs, KY 42642-8543 | 2007-06-20 |
| 1205987542 | Lily Creek Medical Group, Psc | Nurse Practitioner | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| 1417008756 | Robert L. Bertram | Internal Medicine | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2007-01-15 |
| 1841348406 | Russell Springs Pharmacy | Durable Medical Equipment & Medical Supplies | 92 Joe T Petty Dr, Ste 100, Russell Springs, KY 42642-8544 | 2007-01-08 |
| 1477630879 | Commonwealth Urology Russell Springs | Urology | 92 Joe T Petty Dr, Russell Springs, KY 42642-8543 | 2006-11-01 |
| 1700857414 | Miles Kenton Gibson | Family Medicine | 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642-8543 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1629459912 | Ephraim Mcdowell Health Resources,inc | Physician Assistant | 92 Jt Petty Drive, Ste 300, Russell Springs, KY 42642 | 2015-06-12 |
| 1619397775 | Terri Susanne Jones Watkins Odpsc | Optometrist | 24 Caden Way, Suite 2, Russell Springs, KY 42642 | 2014-04-16 |
| 1548512247 | Charles Lenwood Gore | Pharmacist | 1372 Snow Rd, Russell Springs, KY 42642 | 2012-10-05 |
| 1407125016 | Avante Garde Health Centers, LLC | Clinic/Center | 72 Joe T Pettey Dr, Suite B, Russell Springs, KY 42642 | 2011-12-28 |
| 1821392515 | Southern Kentucky Medical Associates, Psc | Nurse Practitioner | 72 Joe T. Pettey Dr, Russell Springs, KY 42642 | 2011-01-10 |
| 1801106620 | Premiertox, Inc. | Clinical Medical Laboratory | 2431 Lakeway Drive, Suite A1, Russell Springs, KY 42642 | 2010-10-14 |
| 1639404593 | Rx Drug Monitoring Laboratory, LLC | Clinical Medical Laboratory | 660 Lakeway Drive, Suite A, Russell Springs, KY 42642 | 2009-10-11 |
| 1902079023 | Russell County Hospital | Specialist | 92 Jt Pettey Drive, Russell Springs, KY 42642 | 2008-04-09 |
| 1225242779 | Independent Speech Inc | Physical Therapist | 1831 Old Clear Springs Rd, Russell Springs, KY 42642 | 2007-05-10 |
| Find all providers in zip 42642 | ||||
| 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 |
|---|---|---|---|---|
| 1013979640 | Grider Drug LLC | Pharmacy | 2431b Lakeway Dr, Russell Springs, KY 42642-4510 | 2006-04-06 |
| 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 | RUSSELL SPRINGS |
| Zip Code | 42642 |
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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.