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MCDOWELL PROFESSIONAL PHARMACY INC NPI 1912071382


NPI Information

NPI: 1912071382
Provider Name: MCDOWELL PROFESSIONAL PHARMACY INC

Doing Business As: MCDOWELL PROFESSIONAL PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 18D0950671

Address:
9549 KY HWY 122
MCDOWELL, KY
ZIP 41647
Phone: (606) 377-1088
Get Directions

MCDOWELL PROFESSIONAL PHARMACY INC is a community/retail pharmacy pharmacy in Mcdowell, 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. MCDOWELL PROFESSIONAL PHARMACY INC NPI is 1912071382. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcdowell Professional Pharmacy.

The provider's business location address is:

9549 KY HWY 122
MCDOWELL, KY
ZIP 41647-700
Phone: (606) 377-1088
Fax: (606) 377-2626

The provider's authorized official is Steven Dawson .
The authorized official title is Pres and has the following contact phone number (606) 226-1245.

The CLIA number assigned to this NPI record is 18D0950671 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/5/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyP02459KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10750440001MEDICARE NSC
22031775OTHERPK
354027982MEDICAIDKENTUCKY
490210360MEDICAIDKENTUCKY

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: 4/28/2024

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