Healthcare Provider Details

I. General information

NPI: 1538901186
Provider Name (Legal Business Name): QPS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 N KY 7
SANDY HOOK KY
41171-9137
US

IV. Provider business mailing address

PO BOX 690
BEATTYVILLE KY
41311-0690
US

V. Phone/Fax

Practice location:
  • Phone: 606-738-5200
  • Fax: 606-738-9518
Mailing address:
  • Phone: 606-738-9518
  • Fax: 606-464-0152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DERRICK J HAMILTON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: DO, CEO, CMO
Phone: 606-666-9950