CPHARMA INC (CULL FAMILY PHARMACY) - NPI NUMBER 1609208396

Summary

Detailed Information

CPHARMA INC is a community/retail pharmacy pharmacy in Owenton, KY. The provider is 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. The assigned NPI number for this provider is 1609208396 and is registered as an organization entity type.
The provider Is Doing Business As Cull Family Pharmacy.

The provider's business address is:

965 HIGHWAY 127 N
OWENTON, KY
ZIP 40359-302
Phone: (502) 484-3046
Fax: (502) 484-1032

The provider's authorized official is Matthew Cull .
The authorized official title is President and has the following contact phone number (502) 484-3611.

The enumeration date for this NPI number is 8/5/2013 and was last updated on 9/17/2014.

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0003X	Pharmacy	Community/Retail Pharmacy	P07586	KY	Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100260950	MEDICAID	KY
2	2141505	OTHER		PK

NPI Record

No.	Field Name	Field Value
1	NPI	1609208396
2	Entity Type Code	2
3	Employer Identification Number EIN
4	Provider Organization Name Legal Business Name	CPHARMA INC
5	Provider Other Organization Name	CULL FAMILY PHARMACY
6	Provider Other Organization Name Type Code	3
7	Provider First Line Business Practice Location Address	965 HIGHWAY 127 N
8	Provider Business Practice Location Address City Name	OWENTON
9	Provider Business Practice Location Address State Name	KY
10	Provider Business Practice Location Address Postal Code	403599302
11	Provider Business Practice Location Address Country Code If outside U S	US
12	Provider Business Practice Location Address Telephone Number	5024843046
13	Provider Business Practice Location Address Fax Number	5024841032
14	Provider Enumeration Date	8/5/2013
15	Last Update Date	9/17/2014
16	Authorized Official Last Name	CULL
17	Authorized Official First Name	MATTHEW
18	Authorized Official Title or Position	PRESIDENT
19	Authorized Official Telephone Number	5024843611
20	Healthcare Provider Taxonomy Code 1	3336C0003X
21	Provider License Number 1	P07586
22	Provider License Number State Code 1	KY
23	Healthcare Provider Primary Taxonomy Switch 1	Y
24	Other Provider Identifier 1	7100260950
25	Other Provider Identifier Type Code 1	05
26	Other Provider Identifier State 1	KY
27	Other Provider Identifier 2	2141505
28	Other Provider Identifier Type Code 2	01
29	Other Provider Identifier Issuer 2	PK
30	Is Organization Subpart	N

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This page was last updated on: 1/13/2015
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.