RX DISCOUNT PHARMACY OF HARLAN INC (NPI# 1992815419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992815419 |
| Entity Type | Organization |
| Organization Name | RX DISCOUNT PHARMACY OF HARLAN INC |
| Other Organization Name | RED BIRD PHARMACY |
| Practice Address |
53 Queendale Ctr Hc 69 Box 701 Beverly KY 40913-9608 |
| Mailing Address |
Po Box 1569 Hazard KY 41702-1569 |
| Practice Telephone | 6065983186 |
| Practice Fax Number | 6065987788 |
| Mailing Telephone | 6064362407 |
| Mailing Fax Number | 6064360727 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | HEATHER L DANIELS (HUMAN RESOURCE MANAGER) |
| Authorized Official Telephone | 6064362407 |
| Is Organization Subpart | Y |
| Parent Organization Name | RX DISCOUNT PHARMACY OF HARLAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PO7069 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | NCPDP | 1829401 | 01 |
| KY | 54011234 | 05 |
| Other Name | Type Code |
|---|---|
| Red Bird Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578702056 | Rx Discount Pharmacy of Harlan Inc | Pharmacy | 123 North Broadway, Lexington, KY 41746 | 2009-02-06 |
| 1528045960 | Rx Discount Pharmacy of Harlan Inc | Pharmacy | 1841 N 25th St, Middlesboro, KY 40965-1853 | 2005-12-28 |
| 1639337579 | Rx Discount Pharmacy of Harlan Inc | Pharmacy | 79 Waco Dr, London, KY 40741-8327 | 2008-05-28 |
| Street Address |
53 QUEENDALE CTR HC 69 BOX 701 |
| City | BEVERLY |
| State | KY |
| Zip Code | 40913-9608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790771046 | Millard Lynn Fogleman | Family Medicine | 53 Queendale Ctr, Red Bird Clinic, Beverly, KY 40913-9607 | 2005-09-22 |
| 1083030860 | Aaron N. Frye | Nurse Practitioner | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2014-03-17 |
| 1558665752 | Memorial Hospital, Inc. | Family Medicine | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2011-01-03 |
| 1053421560 | Bruce D. Polly | Pharmacist | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2006-08-30 |
| 1609862952 | Sharon Kay Goodwin Fogleman | Family Medicine | 53 Queendale Ctr, Red Bird Clinic, Beverly, KY 40913-9608 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821084971 | Red Bird Clinic, Inc. | Clinic/Center | 53 Queendale Center, Suite 1, Beverly, KY 40913 | 2005-09-23 |
| 1780683219 | Red Bird Volunteer Fire and Rescue Inc | Ambulance | 31 Queendale Ctr, Beverly, KY 40913-9602 | 2005-07-18 |
| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
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|---|---|---|---|---|
| 1316548050 | Elizabeth Karen Turner | Physical Therapist | 800 Cummings Ctr Ste 147u, Beverly, MA 01915-6172 | 2020-11-07 |
| 1235730151 | Jennifer Beardslee | Psychologist | 116 Bridge St, Beverly, MA 01915-2851 | 2020-11-06 |
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1225638398 | Nicholas Makogonov | Behavior Technician | 4 Kinsman St, Beverly, MA 01915-1819 | 2020-10-28 |
| 1124626726 | Lov Home Care LLC | In Home Supportive Care | 498 Elliott St, Beverly, MA 01915-2331 | 2020-10-15 |
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1922605344 | Anchor Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 409 Cabot St Ste 8, Beverly, MA 01915-3175 | 2020-10-08 |
| 1124625892 | Steven M Adkison | Registered Nurse | 197 Lothrop St, Beverly, MA 01915-3763 | 2020-10-06 |
| 1083221352 | Myeyedr Optometry of Massachusetts P C | Optometrist | 495 Cabot St Ste 1, Beverly, MA 01915-2515 | 2020-09-30 |
| 1104433614 | Holly Welch | Technician | 5 Dixie St, Beverly, WV 26253-8935 | 2020-09-29 |
| Find all providers in BEVERLY | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.