Healthcare Provider Details

I. General information

NPI: 1174626246
Provider Name (Legal Business Name): THOMAS DRUG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 TRIVETTE DR STE 102A
PIKEVILLE KY
41501-1275
US

IV. Provider business mailing address

PO BOX 167
PIKEVILLE KY
41501
US

V. Phone/Fax

Practice location:
  • Phone: 606-432-1200
  • Fax: 606-432-8180
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP06856
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAMES THOMAS
Title or Position: OWNER
Credential:
Phone: 606-432-1200