Total Care Pharmacy #5

LBN: Pendleton Pharmacist Group Inc
Total Care Pharmacy #5 is an health care organization with primary practice located at 1100 West Shelby Street , Falmouth KY 41040. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pendleton Pharmacist Group Inc can be contacted via phone (859) 654-3232, or through Fronk, Heather via phone (606) 845-3421.

Contact Information

Primary practice address
1100 West Shelby Street Falmouth KY 41040
Fax: (859) 654-3277
Website:
Authorized official contact:
Name: Fronk, Heather PHD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 743031560 Kentucky
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P07273 Kentucky
Suppliers / Pharmacy 333600000X P07273 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447323514
LBN Legal business name Pendleton Pharmacist Group Inc
DBA Doing business as Total Care Pharmacy #5
Authorized official Fronk, Heather PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Dec 12th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447323514 NPPES
Kentucky MEDICAID 90030966
Kentucky MEDICAID 54030739
Kentucky MEDICAID 7100056430

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