CROFTON PHARMACY, LLC (NPI# 1386019099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386019099 |
| Entity Type | Organization |
| Organization Name | CROFTON PHARMACY, LLC |
| Other Organization Name | CROFTON PHARMACY |
| Practice Address |
110 E Main St Crofton KY 42217-8288 |
| Mailing Address |
Po Box 126 Beaver Dam KY 42320-0126 |
| Practice Telephone | 2704248965 |
| Practice Fax Number | 2704248965 |
| Mailing Telephone | 2704248965 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | JOHNATHAN FULLER (OWNER) |
| Authorized Official Telephone | 2707752771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P07729 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54017355 | 05 | |
| PK | 2155592 | 01 |
| Other Name | Type Code |
|---|---|
| CROFTON PHARMACY | Doing Business As Name - Organization |
| Street Address |
110 E MAIN ST |
| City | CROFTON |
| State | KY |
| Zip Code | 42217-8288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063580066 | Crofton Pharmacy LLC | Pharmacy | 110 E Main St, Crofton, KY 42217-8288 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639223233 | Marty E Gamble | Dentist | 136 East Princeton St, Crofton, KY 42217 | 2007-01-22 |
| 1194253245 | Crofton Clinic Psc | Internal Medicine | 241 S Madisonville St, Crofton, KY 42217-8009 | 2017-06-01 |
| 1326696907 | Chrystal Rogers | Nurse Practitioner | 241 S Madisonville St, Crofton, KY 42217-8009 | 2019-08-28 |
| 1790920825 | Commonwealth Biomedical Research, LLC | Acupuncturist | 136 E Princeton St, Crofton, KY 42217-8018 | 2008-12-03 |
| 1982904637 | Crofton Dental Center Pllc | Dentist | 115 E Mill St, Crofton, KY 42217-8021 | 2010-10-28 |
| 1922482587 | Hope Smith | Clinical Nurse Specialist | 503 Crofton Dawson Rd, Crofton, KY 42217-8102 | 2015-07-14 |
| 1619470010 | Taylor Elizabeth Cline Allen | Nurse Practitioner | 375 William Lile Rd, Crofton, KY 42217-8128 | 2018-03-12 |
| 1982848735 | Crofton Elementary School | Public Health or Welfare | 12145 S Madisonville Rd, Crofton, KY 42217-8169 | 2009-04-23 |
| 1326657727 | Hope's Healthcare | Clinical Nurse Specialist | 150 College St, Crofton, KY 42217-8183 | 2020-07-31 |
| 1396254603 | Sydney E Rodgers | Speech-Language Pathologist | 2948 Crofton Fruithill Rd, Crofton, KY 42217-8207 | 2017-09-29 |
| Find all providers in zip 42217 | ||||
| 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 |
|---|---|---|---|---|
| 1730110719 | K Mart Corp | Pharmacy | 1647 Crofton Ctr, Crofton, MD 21114-1318 | 2006-07-06 |
| 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 | ||||
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| 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.