| NPI | 1174615124 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-28 |
| Last Updated | 2009-01-21 |
| Authorized Official | James Marshall President Phone: 2702423811 |
| Mailing Address | Po Box 146 Clarkson, KY 42726-0146 United States Phone: (270) 242-3811 | Fax: (270) 242-4171 📍 View Map |
| Primary Practice Address | 201 Millerstown St. Clarkson, KY 42726-0146 United States Phone: (270) 242-3811 | Fax: (270) 242-4171 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | KY | 000000070017 | ANTHEM BC & BS |
| Other (non-Medicare) | - | 1802811 | NABP |
| MEDICAID | KY | 54002209 | - |
| MEDICAID | KY | 90020439 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | KY | P00450 |
| Yes | 333600000X – Pharmacy | KY | P00450 |
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About NPI 1174615124
Clarkson Drug Store, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1174615124. The primary specialty listed is Pharmacy. The organization is located in Clarkson, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174615124?
NPI 1174615124 belongs to Clarkson Drug Store, Inc., a Pharmacy in Clarkson, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174615124 active?
The current status of NPI 1174615124 in the NPPES registry is Active. The record was last updated on 2009-01-21.
What specialty is NPI 1174615124?
NPI 1174615124 is classified under the taxonomy 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 1174615124?
You can verify NPI 1174615124 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 1174615124?
The primary practice address on file for NPI 1174615124 is 201 Millerstown St., Clarkson, KY 42726-0146. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174615124 issued?
NPI 1174615124 was first issued (enumerated) on 2006-09-28. The NPPES record was last updated on 2009-01-21.
Practice Location Map
Clarkson Drug Store, Inc. is located at 201 Millerstown St., Clarkson, 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 Clarkson Drug Store, 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 1174615124. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | P00450 | KY |
| Pharmacy | P00450 | KY |