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CENTRAL CITY CLINIC PHARMACY INC NPI 1144483454


NPI Information

NPI: 1144483454
Provider Name: CENTRAL CITY CLINIC PHARMACY, INC

Other Name: CLINIC PHARMACY SOUTH

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3959 US HWY 41 S
BEECHMONT, KY
ZIP 42323
Phone: (270) 476-3600
Get Directions

CENTRAL CITY CLINIC PHARMACY, INC is a durable medical equipment medical supplies in Beechmont, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CENTRAL CITY CLINIC PHARMACY, INC NPI is 1144483454. The provider is registered as an organization entity type.
The provider Other Name Is Clinic Pharmacy South.

The provider's business location address is:

3959 US HWY 41 S
BEECHMONT, KY
ZIP 42323-070
Phone: (270) 476-3600
Fax: (270) 476-3100

The provider's authorized official is Raymond D Gentry .
The authorized official title is President and has the following contact phone number (270) 476-3600.

The enumeration date for this NPI number is 7/7/2008 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1332B00000XDurable Medical Equipment & Medical SuppliesP06265KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11824475OTHERKENTUCKYNABP
254032167MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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