1275575730 NPI number — COMPLETE CARE PHARMACY PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275575730 NPI number — COMPLETE CARE PHARMACY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPLETE CARE PHARMACY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COMPLETE CARE PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275575730
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
572 MORTON BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAZARD
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41701-9473
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-487-1910
Provider Business Mailing Address Fax Number:
606-439-1196

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
572 MORTON BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAZARD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41701-9473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-487-1910
Provider Business Practice Location Address Fax Number:
606-439-1196
Provider Enumeration Date:
06/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST / MEMBER PLIC
Authorized Official Telephone Number:
606-487-1910

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: P07067 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2034183 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 54008107 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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