CROFTON PHARMACY
NPI 1386019099
Pharmacy in Crofton, KY

Active since December 07, 2015
110 E MAIN ST, CROFTON, KY 42217(270) 424-8965(270) 424-8965 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crofton Pharmacy NPPES

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

CROFTON PHARMACY (NPI 1386019099) is a healthcare organization registered as a pharmacy in Crofton, Kentucky and active in the NPI registry since December 2015. The organization lists Johnathan Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1386019099
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCROFTON PHARMACY, LLC
Location Address110 E MAIN STCrofton, KY 42217-8288
Mailing AddressPo Box 126Beaver Dam, KY 42320-0126 · (270) 424-8965
Fax(270) 424-8965
Organization SubpartNo
Authorized OfficialJohnathan FullerOwner · (270) 775-2771
Enumeration DateDecember 7, 2015
NPI 1386019099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in KY · P07729
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
110 E MAIN ST, Crofton, KY 42217

Other Names 1

Doing Business AsCrofton Pharmacy

Other Identifiers 2

Other2155592Pk
Medicaid54017355KY

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 Crofton Pharmacy, LLC's NPI number?

The NPI number for Crofton Pharmacy, LLC is 1386019099. It was assigned to this organization in the NPPES registry on December 7, 2015. The provider is doing business as Crofton Pharmacy.

Where is Crofton Pharmacy, LLC located?

Crofton Pharmacy, LLC is located at 110 E Main St, Crofton, KY 42217. The listed phone number is (270) 424-8965.

What is Crofton Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Crofton Pharmacy, LLC was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.