Provider Demographics
NPI:1912949728
Name:PARKVIEW PHARMACY INC
Entity Type:Organization
Organization Name:PARKVIEW PHARMACY INC
Other - Org Name:PARKVIEW PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CO-OWNER, PIC
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKERS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-377-2117
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:MINNIE
Mailing Address - State:KY
Mailing Address - Zip Code:41651-0070
Mailing Address - Country:US
Mailing Address - Phone:606-377-2117
Mailing Address - Fax:606-377-2118
Practice Address - Street 1:8274 KY RT 122
Practice Address - Street 2:
Practice Address - City:MINNIE
Practice Address - State:KY
Practice Address - Zip Code:41651
Practice Address - Country:US
Practice Address - Phone:606-377-2117
Practice Address - Fax:606-377-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
KYP070713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2034343OtherPK
KY5401104400Medicaid
KY90012287Medicaid
KY90012287Medicaid