Bluegrass Drug Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07825 Issued in KY

Legal business name

BLUEGRASS DRUG CENTER INC

Practice address

1955 Hwy 227
Carrollton, KY 41008-8037

Phone

(502) 732-4331

Fax

(502) 732-9182

NPI assigned

Jan 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erik Grove, PHARM.D.

Title

President/Owner/Ao

Phone

(812) 265-4621

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Bluegrass Drug Center Carrollton Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Nicole Trueblood, PHARMD

  • Pharmacist
  • Carrollton, KY
  • NPI 1841880978
  NPD (past)
• Tyler Anthony Frederick, PHARMD

  • Pharmacist
  • Carroll, OH
  • NPI 1427692425
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1083159677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 W MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503131",
            "telephone_number": "812-265-4621",
            "fax_number": "812-273-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 HWY 227",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410088037",
            "telephone_number": "502-732-4331",
            "fax_number": "502-732-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS DRUG CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/AO",
        "authorized_official_telephone_number": "812-265-4621",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Drug Center Carrollton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluegrass Drug Center Carrollton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Russell Barre Baker
• Heidi Bellile, LPCC
• Karalee J Bessinger, M.D.
• Reva Kathleen Bieger
• Mary Meyer Blattman, NP-C
• Whitney Faith Bowling, PHARMD
• Rebecca Garmon Burnette, FNP-BC
• Caddo Dialysis LLC
• Carroll Co Fiscal Court
• Carroll Counseling, LLC

• Community/Retail Pharmacy in Carrollton, KY
• Providers in Carrollton, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.