| NPI | 1164558912 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-02-26 |
| Last Updated | 2021-03-22 |
| Authorized Official | Jody Holland Owner President Phone: 6064789474 |
| Mailing Address | Po Box 2159 Pikeville, KY 41502-2159 United States Phone: (606) 478-9474 | Fax: (606) 478-1000 📍 View Map |
| Primary Practice Address | 11155 Us Hwy 23 S Betsy Layne, KY 41605-4160 United States Phone: (606) 478-9474 | Fax: (606) 478-1000 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | KY | 54017017 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | KY | P07641 |
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About NPI 1164558912
Betsy Layne Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164558912. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Betsy Layne, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164558912?
NPI 1164558912 belongs to Betsy Layne Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Betsy Layne, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164558912 active?
The current status of NPI 1164558912 in the NPPES registry is Active. The record was last updated on 2021-03-22.
What specialty is NPI 1164558912?
NPI 1164558912 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164558912?
You can verify NPI 1164558912 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164558912?
The primary practice address on file for NPI 1164558912 is 11155 Us Hwy 23 S, Betsy Layne, KY 41605-4160. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164558912 issued?
NPI 1164558912 was first issued (enumerated) on 2007-02-26. The NPPES record was last updated on 2021-03-22.
Practice Location Map
Betsy Layne Pharmacy Inc is located at 11155 Us Hwy 23 S, Betsy Layne, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Betsy Layne Pharmacy Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164558912. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | P07641 | KY |