VILLAGEMD CLINICALS PHARMACY KENTUCKY (NPI# 1629559224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629559224 |
| Entity Type | Organization |
| Organization Name | VILLAGEMD CLINICALS PHARMACY KENTUCKY |
| Other Organization Name | CONNECTCARERX |
| Practice Address |
1000 S 12th St Ste A Murray KY 42071 |
| Mailing Address |
1000 S 12th St Ste A Murray KY 42071-9303 |
| Practice Telephone | 2707676960 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DAVID KOON (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3469802142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | P08013 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100555250 | 05 |
| Other Name | Type Code |
|---|---|
| ConnectCareRx | Doing Business As Name - Organization |
| Street Address |
1000 S 12TH ST STE A |
| City | MURRAY |
| State | KY |
| Zip Code | 42071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| 1447488226 | Jessica A Champion | Counselor | 1712 St. Rt. 121 N Suite D, Murray, KY 42071 | 2009-06-30 |
| Find all providers in zip 42071 | ||||
| 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 |
|---|---|---|---|---|
| 1861093502 | Alan Keith Bennion | Pharmacy | 5761 S Surreyrun Rd, Murray, UT 84107-6610 | 2020-11-07 |
| 1790147833 | University of Utah | Pharmacy | 6056 S Fashion Square Dr Ste 1000, Suite 1000, Murray, UT 84107-5410 | 2016-03-28 |
| 1861504771 | Gibsons Pharmacy Inc | Pharmacy | 240 E 6400 S, Murray, UT 84107-7305 | 2006-08-31 |
| 1447360078 | Costco Wholesale Corporation | Pharmacy | 5201 S Intermountain Dr, Murray, UT 84107 | 2006-08-30 |
| 1851300404 | Pharmacy 2, Inc. | Pharmacy | 82 Spruce Street Business Center, Suite 102, Murray, KY 42071 | 2006-08-05 |
| 1093747032 | Freds Stores of Tennessee Inc | Pharmacy | 928 S 12th St, Murray, KY 42071-2949 | 2006-07-07 |
| 1851901870 | Kpc Promise Hospital of Salt Lake LLC | Pharmacy | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2020-08-04 |
| 1275908568 | Ihc Health Services Inc | Pharmacy | 5121 S Cottonwood St, Building 5 Ll2, Murray, UT 84107-5701 | 2015-12-11 |
| 1356674667 | Maceys Inc | Pharmacy | 5632 S 900 E, Murray, UT 84121-1034 | 2009-09-18 |
| 1457556243 | Ihc Health Services, Inc. | Pharmacy | 5121 S Cottonwood St, Building 2, Murray, UT 84107-5701 | 2007-06-20 |
| Find all providers in MURRAY | ||||
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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.