Daughertys Drug Store Inc
Community/Retail Pharmacy
4160 S Hwy 27, Pine Knot
Kentucky, 42635
606-354-2222 606-354-3830
Daughertys Drug Store Inc is a Community/Retail Pharmacy in Pine Knot, Kentucky. It is located at 4160 S Hwy 27, Pine Knot and it's customer support contact number is 606-354-2222. The authorized person of Daughertys Drug Store Inc is Kerry Matheny, RPH who is President of the pharmacy and his contact number is 606-354-2222. Active license number of Daughertys Drug Store Inc is P01040 for Community/Retail Pharmacy in Kentucky. Daughertys Drug Store Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Daughertys Drug Store Inc is 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.
Pharmacy Details:
Daughertys Drug Store Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Daughertys Drug Store Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 4160 S Hwy 27, Pine Knot,
Kentucky, 42635 |
| Phone: | 606-354-2222 |
| Fax: | 606-354-3830 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kerry Matheny |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 606-354-2222 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1316938210 |
| NPI Enumeration Date: | 31 Oct, 2005 |
| NPI Last Update On: | 12 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Daughertys Drug Store Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P01040 | Kentucky | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 54013933 | Medicaid | Kentucky | |
| 90007790 | Medicaid | Kentucky | |
| 2029239 | Other | | Pk |
Medicare Enrollment:
Daughertys Drug Store Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8426266230 | O20100930048114 | Daugherty's Drugstore Inc | DME SUPPLIER - PHARMACY |
| 8426266230 | O20170411002418 | Daugherty's Drugstore Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Daughertys Drug Store Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Nebulizer Equipment & Supplies |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 548,
Pine Knot, Kentucky |
| Zip: | 42635-0548 |
| Phone Number: | 606-354-2222 |
| Fax Number: | 606-354-3830 |
Patients can reach Daughertys Drug Store Inc at
4160 S Hwy 27, Pine Knot, Kentucky or can
call on customer care at 606-354-2222.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.