PLAZA DRUG OF LONDON LLC (NPI# 1720537251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720537251 |
| Entity Type | Organization |
| Organization Name | PLAZA DRUG OF LONDON LLC |
| Other Organization Name | PLAZA DRUG OF LONDON |
| Practice Address |
731 N Laurel Rd London KY 40741-6025 |
| Mailing Address |
Po Box 202 Pittsburg KY 40755-0202 |
| Practice Telephone | 6066575245 |
| Practice Fax Number | 6066575382 |
| Mailing Telephone | 6066575245 |
| Mailing Fax Number | 6066575382 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | MIKE SIZEMORE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6066575245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
P07655 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2164322 | 01 | |
| KY | 7100281580 | 05 | |
| KY | 7100430090 | 05 |
| Other Name | Type Code |
|---|---|
| Plaza Drug of London | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770904989 | Plaza Drug of London LLC | Pharmacy | 731 N Laurel Rd, London, KY 40741-6025 | 2013-12-16 |
| Street Address |
731 N LAUREL RD |
| City | LONDON |
| State | KY |
| Zip Code | 40741-6025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306006598 | Andrew Spencer Mccormick | Pharmacist | 731 N Laurel Rd, London, KY 40741-6025 | 2008-06-11 |
| 1770904989 | Plaza Drug of London LLC | Pharmacy | 731 N Laurel Rd, London, KY 40741-6025 | 2013-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1770904989 | Plaza Drug of London LLC | Pharmacy | 731 N Laurel Rd, London, KY 40741-6025 | 2013-12-16 |
| 1932260700 | Laurel Housing Inc | Pharmacy | 208 W 12th St, London, KY 40741-1101 | 2006-12-13 |
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|---|---|---|---|---|
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1871133116 | Tompkinsville Drugs LLC | Pharmacy | 1513 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2020-01-15 |
| 1407498546 | Andrews Packaging Pharmacy, Inc | Pharmacy | 10101 Taylorsville Rd Ste 103, Louisville, KY 40299-3663 | 2019-10-10 |
| 1578104287 | Medwiz of Kentucky, LLC | Pharmacy | 116 Venture Ct Suites 4-5-6, Lexington, KY 40511-2625 | 2019-10-03 |
| 1164994315 | Rice Drugs, Inc. | Pharmacy | 125 Veller Drive, Beaver Dam, KY 42320-8955 | 2018-12-28 |
| 1174946875 | Orion Rx Kentucky LLC | Pharmacy | 13100 Magisterial Dr Ste 102, Louisville, KY 40223-5185 | 2014-01-31 |
| 1053757393 | Pharm-save, Inc. | Pharmacy | 13040 Eastgate Park Way Ste 105, Louisville, KY 40223-3915 | 2013-05-14 |
| 1427328459 | Highland Pharmacy Inc | Pharmacy | 301 Rogers Rd, Glasgow, KY 42141-4110 | 2012-01-06 |
| 1801164348 | Apothecare Pharmacy of Elizabethtown P S C | Pharmacy | 189 E Lincoln Trail Blvd, Radcliff, KY 40160-1253 | 2011-12-12 |
| 1386958866 | Bluegrass Long Term Care | Pharmacy | 2187 Lexington Rd Ste 1, Richmond, KY 40475-7919 | 2010-07-27 |
| 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.