CENTRAL CITY CLINIC PHARMACY, INC.
NPI 1205967395
Durable Medical Equipment & Medical Supplies in Central City, KY

Active since March 08, 2007CLIA 18D2197286 · Waiver
203 N 2ND ST, CENTRAL CITY, KY 42330(270) 754-4300(270) 754-9881 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central City Clinic Pharmacy, Inc. NPPES

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

CENTRAL CITY CLINIC PHARMACY, INC. (NPI 1205967395) is a healthcare organization registered as a durable medical equipment & medical supplies in Central City, Kentucky and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Elizabeth Ann Gentry, Secretary, as its authorized official.

NPPES Registry Identity

NPI1205967395
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCENTRAL CITY CLINIC PHARMACY, INC.
Location Address203 N 2ND STCentral City, KY 42330-1287
Mailing Address203 N 2nd StCentral City, KY 42330-1287 · (270) 754-4300 · Fax (270) 754-9881
Fax(270) 754-9881
Organization SubpartNo
Authorized OfficialElizabeth Ann GentrySecretary · (270) 754-4300
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 24, 2008
NPI 1205967395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
203 N 2ND ST, Central City, KY 42330

Other Identifiers 4

Other1804031KY · Nabp
OtherP00339KY · Store Permit #
Other0290230001KY · Medicare
Medicaid90040890KY

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 18D2197286

Central City Clinic Pharmacy · Central City, KY
Active · expires Oct 22, 2026
CLIA Number18D2197286
Laboratory TypePharmacy
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorMr. Evan M. Sweeney
Laboratory Phone(270) 754-4300
Laboratory LocationCentral City Clinic Pharmacy203 N 2nd Street, Central City, KY 42330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Central City Clinic Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Central City Clinic Pharmacy Inc

DMEPOS supplier · Central City, KY

Does not accept Medicare assignment

Central City Clinic Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20660399
Medicare Participant SinceJanuary 1, 1998
Supplier Location203 N 2nd StCentral City, KY 42330
Supplier Specialties
Orthotic Personnel Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

Pharmacist
203 N 2ND ST
CENTRAL CITY, KY 42330
Radiologic Technologist (Radiography)
203 N 2ND ST
CENTRAL CITY, KY 42330
Pharmacy (Community/Retail Pharmacy)
203 N 2ND ST
CENTRAL CITY, KY 42330
Nurse Practitioner (Family)
203 N 2ND ST
CENTRAL CITY, KY 42330

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 Central City Clinic Pharmacy, Inc.'s NPI number?

The NPI number for Central City Clinic Pharmacy, Inc. is 1205967395. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Central City Clinic Pharmacy, Inc. located?

Central City Clinic Pharmacy, Inc. is located at 203 N 2nd St, Central City, KY 42330. The listed phone number is (270) 754-4300.

What is Central City Clinic Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Central City Clinic Pharmacy, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Central City Clinic Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Central City Clinic Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2197286) is associated with this NPI, valid through October 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central City Clinic Pharmacy, Inc. was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.