Healthcare Provider Details

I. General information

NPI: 1356507180
Provider Name (Legal Business Name): PENDLETON PHARMACIST GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 KLEE WAY STE A
FALMOUTH KY
41040-8510
US

IV. Provider business mailing address

209 S MAIN CROSS ST
FLEMINGSBURG KY
41041-1203
US

V. Phone/Fax

Practice location:
  • Phone: 859-654-3232
  • Fax:
Mailing address:
  • Phone: 606-845-2101
  • Fax: 606-849-2633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BRETT RAMSEY
Title or Position: PHARMACIST
Credential:
Phone: 859-654-3232