Bluegrass Pharmacy

LBN: Bluegrass Pharmacies, Inc
Bluegrass Pharmacy is an health care organization with primary practice located at 1128 N Main St , Madisonville KY 42431-1265. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Bluegrass Pharmacies, Inc can be contacted via phone (270) 825-2775, or through Russell, Gary Stephen via phone (270) 825-2775.

Contact Information

Primary practice address
1128 N Main St Madisonville KY 42431-1265
Fax: (270) 825-0413
Website:
Authorized official contact:
Name: Russell, Gary Stephen R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PO1392 Kentucky
Suppliers / Pharmacy 333600000X 1392 Kentucky
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PO1392 Kentucky

Profile Details

NPI number 1437158730
LBN Legal business name Bluegrass Pharmacies, Inc
DBA Doing business as Bluegrass Pharmacy
Authorized official Russell, Gary Stephen R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated May 20th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437158730 NPPES
Kentucky MEDICAID 54016753

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