Healthcare Provider Details

I. General information

NPI: 1093891665
Provider Name (Legal Business Name): BARR-THORN ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 03/07/2023
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 S MAYO TRL STE 102
PIKEVILLE KY
41501-2321
US

IV. Provider business mailing address

PO BOX 2048
GRUNDY VA
24614-2048
US

V. Phone/Fax

Practice location:
  • Phone: 606-432-2274
  • Fax: 606-433-9816
Mailing address:
  • Phone: 276-935-4777
  • Fax: 276-935-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number9101535
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number90003021
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1145660002
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number02140000551
License Number StateVA
# 5
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP06583
License Number StateKY

VIII. Authorized Official

Name: JOEL C THORNBURY
Title or Position: PIC/VP
Credential: RPH
Phone: 606-432-6959