ARCHER CLINIC PHARMACY – NPI #1538174172
Pharmacy
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
ARCHER CLINIC PHARMACY is a pharmacy located in PRESTONSBURG, KY. NPPES has assigned the NPI number 1538174172 to ARCHER CLINIC PHARMACY on July 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ARCHER CLINIC PHARMACY” is a dba name, the actual legal business name for this organization is PRESTONSBURG PHARMACIST GROUP LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy
The NPI profile was previously updated about 8 years ago on Sep 19, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARCHER CLINIC PHARMACY below.
NPI Profile for
PRESTONSBURG PHARMACIST GROUP LLC
(about 20 years ago)
SUITE 100
PRESTONSBURG, KY 41653 Phone: (606) 886-1202 Fax: (606) 886-1346
SUITE 7
GEORGETOWN, KY 40324 Phone: (502) 370-4336 Fax: (502) 370-4352
PRESIDENT
Phone: (502) 370-4336
Identifiers for ARCHER CLINIC PHARMACY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | PK | 2030532 | |
| MEDICAID | KY | 54019179 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 3336C0004X - Pharmacy / Compounding Pharmacy (Primary) |
||
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
KY | P01662 |
| 333600000X - Pharmacy |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.