CLARKSON DRUG STORE, INC. (NPI# 1174615124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174615124 |
| Entity Type | Organization |
| Organization Name | CLARKSON DRUG STORE, INC. |
| Other Organization Name | CLARKSON DRUG STORE |
| Practice Address |
201 Millerstown St. Clarkson KY 42726-0146 |
| Mailing Address |
Po Box 146 Clarkson KY 42726-0146 |
| Practice Telephone | 2702423811 |
| Practice Fax Number | 2702424171 |
| Mailing Telephone | 2702423811 |
| Mailing Fax Number | 2702424171 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | MR. JAMES WILLIAM MARSHALL (PRESIDENT) |
| Authorized Official Telephone | 2702423811 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | P00450 | KY | Suppliers |
| Y | 333600000X | Pharmacy | P00450 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54002209 | 05 | |
| KY | 90020439 | 05 | |
| KY | ANTHEM BC & BS | 000000070017 | 01 |
| NABP | 1802811 | 01 |
| Other Name | Type Code |
|---|---|
| Clarkson Drug Store | Doing Business As Name - Organization |
| Street Address |
201 MILLERSTOWN ST. |
| City | CLARKSON |
| State | KY |
| Zip Code | 42726-0146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740302041 | James William Marshall | Pharmacist | 201 Millerstown St., Clarkson, KY 42726-0146 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837357 | Paula Tiffany Nicole Smallwood | Developmental Therapist | 20 Fragrant Rd, Clarkson, KY 42726 | 2014-06-25 |
| 1295079481 | Pamela Oletta Riggs | Counselor | 409 Millerstown St, Clarkson, KY 42726 | 2012-11-12 |
| 1700039146 | Kathy Powell | Durable Medical Equipment & Medical Supplies | 722 W. Main Street, Clarkson, KY 42726 | 2008-10-29 |
| 1497177398 | Everlasting Arms Family Counseling Center, LLC | Counselor | 409 Millerstown St, Clarkson, KY 42726 | 2014-01-10 |
| 1134111784 | Larry T Mcclure | Clinic/Center | 619 W Main St, Clarkson, KY 42726 | 2005-08-19 |
| 1700863495 | Midway Pharmacy of Clarkson Inc | Pharmacy | 627 W Main St, Clarkson, KY 42726-7044 | 2005-12-23 |
| 1063668291 | Louisville Vamc | Clinic/Center | 619 W Main St, Clarkson, KY 42726-7044 | 2008-08-07 |
| 1780876581 | Twin Lakes Family Practice | Clinic/Center | 625 W Main St, Clarkson, KY 42726-7044 | 2007-08-15 |
| 1619031192 | Mark Evan Demuth | Family Medicine | 619 W Main St, Clarkson, KY 42726-7044 | 2006-12-20 |
| 1104937820 | Clarkson Clinic, Pllc | Clinic/Center | 625 W Main St, Clarkson, KY 42726-7044 | 2006-08-31 |
| Find all providers in zip 42726 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863495 | Midway Pharmacy of Clarkson Inc | Pharmacy | 627 W Main St, Clarkson, KY 42726-7044 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CLARKSON DRUG STORE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.