MEDICORP INC NPI 1639114416

NPI Information

  • NPI: 1639114416
  • Provider Name: MEDICORP, INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: PARKWAY PHARMACY
  • Address: 2354 HIGHWAY 15
    WHITESBURG, KY
    ZIP 41858
  • Phone: (606) 633-4435

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NPI Details

MEDICORP, INC is a community/retail pharmacy pharmacy in Whitesburg, 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. MEDICORP, INC NPI is 1639114416. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkway Pharmacy.

The provider's business location address is:

2354 HIGHWAY 15
WHITESBURG, KY
ZIP 41858-413
Phone: (606) 633-4435
Fax: (606) 633-4570

The provider's authorized official is Earnest J. Watts .
The authorized official title is President/ Pharmacist and has the following contact phone number (606) 633-4435.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 4/20/2008.

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 SuppliesPO1472KENTUCKYNo
23336C0003XPharmacyCommunity/Retail PharmacyP01472KENTUCKYYes

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
11814195OTHERKENTUCKYNCDPD
21046750001MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
354017371MEDICAIDKENTUCKY
4=========OTHERKENTUCKYWORKERS COMP, CAR INS
590080672MEDICAIDKENTUCKY

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: 3/30/2025

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