1912058884 NPI number — BURNICE NAPIER, INC. DBA NAPIER FAMILY DRUG

Table of content: (NPI 1912058884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912058884 NPI number — BURNICE NAPIER, INC. DBA NAPIER FAMILY DRUG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BURNICE NAPIER, INC. DBA NAPIER FAMILY DRUG
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:
Provider Other Organization Name Type Code:
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:
1912058884
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1128
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HINDMAN
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41822-1128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-785-3143
Provider Business Mailing Address Fax Number:
606-785-3933

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
47 WEST MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HINDMAN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-785-3143
Provider Business Practice Location Address Fax Number:
606-785-3933
Provider Enumeration Date:
01/16/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NAPIER
Authorized Official First Name:
BURNICE
Authorized Official Middle Name:
NEIL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
606-785-3143

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  PO2213 , 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: 1805273 . This is a "NCPDP # (NAPB#)" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 54013248 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".