Riley-White Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06574 Issued in KY

Legal business name

RILEY-WHITE INC

Practice address

153 NW Park SQ
Russellville, KY 42276-1335

Phone

(270) 726-7626

Fax

(270) 726-7879

NPI assigned

Nov 16, 2006

Last updated

Aug 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerrold D White, RPHNPI 1518091198

Title

Co Owner Manager

Phone

(270) 726-7626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riley White Drugs Other name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Riley White Inc

  dba Clinic Pharmacy Franklin

  • Community/Retail Pharmacy
  • Franklin, KY
  • NPI 1740726215

  9032286661

  Same PAC ID
• Riley-White Inc

  • Durable Medical Equipment & Medical Supplies
  • Russellville, KY
  • NPI 1073680864

  9032286661

  Same PAC ID
• Riley-White Inc

  dba Clinic Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Bowling Green, KY
  • NPI 1356412787

  9032286661

  Same PAC ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerrold D White, RPH

  • Pharmacist
  • Russellville, KY
  • NPI 1518091198
  Authorized official Same address or phone
• Andrew McKinney, PHARMD

  • Pharmacist
  • Franklin, KY
  • NPI 1003321449
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1083787923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 PARK SQUARE NW",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "42276",
            "telephone_number": "270-726-7626",
            "fax_number": "270-726-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 NW PARK SQ",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761335",
            "telephone_number": "270-726-7626",
            "fax_number": "270-726-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY-WHITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO OWNER MANAGER",
        "authorized_official_telephone_number": "270-726-7626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54035068",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riley White Drugs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kari Retzlaff, CASE MANAGER
• Elizabeth A Reynolds
• Richard Bailey M.D. Medical Practice, LLC
• Daniel N Richardson, PT, DPT
• Riley-White Inc
• Alannah Whitney Robertson, SLP-CCC
• Rollins Bedford Corporation (Russellville Health Care Manor)
• RP Speech Services LLC
• Russellville Chiropractic L.L.C.
• Russellville Chiropractic, L.L.C.

• Community/Retail Pharmacy in Russellville, KY
• Providers in Russellville, 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 Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.