MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
NPI 1124883574
Pharmacy - Community/Retail Pharmacy in Pikeville, KY

Q: What is Mountain Comprehensive Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since February 15, 2024CLIA 18D2107249 · Waiver

1330 SOUTH MAYO TRAIL, NOVA COMPLEX, SUITE 102, PIKEVILLE, KY 41501(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mountain Comprehensive Care Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (NPI 1124883574), doing business as Mountain Care Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Pikeville, Kentucky and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Roxann Cordial, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1124883574

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMOUNTAIN COMPREHENSIVE CARE CENTER, INC.

Location Address1330 SOUTH MAYO TRAIL, NOVA COMPLEX, SUITE 102Pikeville, KY 41501

Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433

Phone(606) 886-8572

Fax(606) 886-4433

Organization SubpartNo

Authorized OfficialRoxann CordialCredentialing Manager · (606) 886-8572

Enumeration DateFebruary 15, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1124883574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1330 SOUTH MAYO TRAIL, Pikeville, KY 41501

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Other Names 1

Doing Business AsMountain Care Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2107249

Mountain Comprehensive Care Center Home Place Clinic · Pikeville, KY

Active · expires Jan 10, 2028

CLIA Number18D2107249

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJanuary 11, 2026

Certificate Expiration DateJanuary 10, 2028

Laboratory DirectorKristin Freeman MD

Laboratory Phone(606) 432-3143

Laboratory LocationMountain Comprehensive Care Center Home Place Clinic118 River Drive, Pikeville, KY 41501

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAY VALLABH NAROLA MD

Psychiatry & Neurology (Psychiatry)

1330 SOUTH MAYO TRAIL, NOVA COMPLEX STE 101
PIKEVILLE, KY 41501

Pike County (606) 432-7233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Comprehensive Care Center, Inc.'s NPI number?

The NPI number for Mountain Comprehensive Care Center, Inc. is 1124883574. It was assigned to this organization in the NPPES registry on February 15, 2024. The provider is doing business as Mountain Care Pharmacy.

Where is Mountain Comprehensive Care Center, Inc. located?

Mountain Comprehensive Care Center, Inc. is located at 1330 South Mayo Trail Nova Complex, Suite 102, Pikeville, KY 41501. The listed phone number is (606) 886-8572.

What is Mountain Comprehensive Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Mountain Comprehensive Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2107249) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain Comprehensive Care Center, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Mountain Comprehensive Care Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Comprehensive Care Center, Inc. was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.