PDC, LLC (NPI# 1639273691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639273691 |
| Entity Type | Organization |
| Organization Name | PDC, LLC |
| Other Organization Name | PRINCETON DRUG STORE |
| Practice Address |
103 W Main St Princeton KY 42445-1546 |
| Mailing Address |
103 W Main St Princeton KY 42445 |
| Practice Telephone | 2703655585 |
| Practice Fax Number | 2703650559 |
| Mailing Telephone | 2703655585 |
| Mailing Fax Number | 2703650559 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | JIMMY L TUCKER (OWNER, CEO, PRESIDENT) |
| Authorized Official Telephone | 2703655585 |
| 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 | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100544640 | 05 |
| Other Name | Type Code |
|---|---|
| Princeton Drug Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058517 | Pdc, LLC | Pharmacy | 103 W Main St, Princeton, KY 42445-1546 | 2016-04-20 |
| Street Address |
103 W MAIN ST |
| City | PRINCETON |
| State | KY |
| Zip Code | 42445-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058517 | Pdc, LLC | Pharmacy | 103 W Main St, Princeton, KY 42445-1546 | 2016-04-20 |
| 1932446838 | Lance Howard Moore | Pharmacist | 103 W Main St, Princeton, KY 42445-1546 | 2013-01-11 |
| 1598772097 | Rodney Pierce Whittington | Pharmacist | 103 W Main St, Princeton, KY 42445-1546 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451962 | Margaret O Cartwright | Speech-Language Pathologist | 414 Stephens Rd., Princeton, KY 42445 | 2020-03-11 |
| 1467878512 | Genesis Health Care | Skilled Nursing Facility | 11524 Dawson Road, Princeton, KY 42445 | 2014-03-13 |
| 1639353741 | Princeton Family Care, Pllc | Nurse Practitioner | 323 C South Jefferson St, Princeton, KY 42445 | 2007-12-26 |
| 1285720979 | Vicki Jean Simms | Pharmacist | 550 U.S. Hwy 62 West, Princeton, KY 42445 | 2006-10-04 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1285648824 | Sylvia Lynn Mccarty | Social Worker | 1350 Hwy 62 West, Princeton, KY 42445 | 2006-07-28 |
| 1497157341 | App of Kentucky Ed, Pllc | Physician Assistant | 100 Medical Center Dr, Princeton, KY 42445 | 2014-09-23 |
| 1902238496 | Luis Felipe Miranda | Dentist | 406 W Washington St, Princeton, KY 42445 | 2013-08-06 |
| 1932309697 | Shandi Lynne Damron | Social Worker | 1350 Us Highway 62 W, Princeton, KY 42445 | 2007-07-20 |
| 1851486708 | Caldwell County Hospital Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Princeton, KY 42445 | 2006-10-04 |
| Find all providers in zip 42445 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699112284 | Thirumala Group LLC | Pharmacy | 100 W Princeton Dr # A, Princeton, TX 75407-9607 | 2013-05-23 |
| 1235576877 | Thirumala Group LLC | Pharmacy | 201 E Princeton Dr, Princeton, TX 75407-9005 | 2013-05-22 |
| 1538402342 | Wal-mart Stores East Lp | Pharmacy | 509 Doctor Donnie H Jones Jr Blvd W, Princeton, NC 27569-6820 | 2013-03-29 |
| 1043554504 | Walmart Inc. | Pharmacy | 300 21st Ave N, Princeton, MN 55371-6271 | 2012-11-21 |
| 1184862146 | Aydil Healthcare, Pllc | Pharmacy | 501 E Princeton Dr # 100, Princeton, TX 75407 | 2009-01-29 |
| 1396959938 | Princeton Pharmacy, Inc | Pharmacy | 610 N Main Street, Princeton, IL 61356-2006 | 2007-05-10 |
| 1043352537 | Princeton Pharmacy Inc. | Pharmacy | 501 E. Princeton Dr, Suite 100, Princeton, TX 75407 | 2007-02-13 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1912099516 | New Jersey Cvs Pharmacy LLC | Pharmacy | 881 State Rd # 206, Princeton, NJ 08540-1436 | 2006-09-29 |
| 1366533796 | Hobert Drugs Inc | Pharmacy | 115 N Rum River Dr, Princeton, MN 55371-1616 | 2006-09-28 |
| Find all providers in PRINCETON | ||||
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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.