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CLINIC PHARMACY LLC NPI 1578699971


NPI Information

NPI: 1578699971
Provider Name: CLINIC PHARMACY LLC

Doing Business As: CLINIC PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 18D2186085

Address:
1210 KY HIGHWAY 36 E
STE G-6
CYNTHIANA, KY
ZIP 41031
Phone: (859) 234-2777
Get Directions

CLINIC PHARMACY LLC is a community/retail pharmacy pharmacy in Cynthiana, 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. CLINIC PHARMACY LLC NPI is 1578699971. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinic Pharmacy.

The provider's business location address is:

1210 KY HIGHWAY 36 E
STE G-6
CYNTHIANA, KY
ZIP 41031-490
Phone: (859) 234-2777
Fax: (859) 234-2775

The provider's authorized official is Matthew W. Harney .
The authorized official title is Pharmacy Director and has the following contact phone number (859) 234-2777.

The CLIA number assigned to this NPI record is 18D2186085 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 11/17/2023.


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
1335E00000XProsthetic/Orthotic SupplierNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
4333600000XPharmacyNo
53336C0003XPharmacyCommunity/Retail PharmacyP06700KENTUCKYYes

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
154002753MEDICAIDKENTUCKY
22033239OTHERPK

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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