Organization Active NPI

Save Rite Drugs Radcliff Inc

  • Community/Retail Pharmacy
  • Radcliff, KY
National Provider Identifier
1124397385
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAVE RITE DRUGS RADCLIFF INC
Practice address
990 S Dixie Blvd
Suite 6
Radcliff, KY 40160-1289
Phone
(270) 351-3784
Fax
(270) 351-3785
NPI assigned
Dec 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mr. Bruce A Wilson, R.PH.
Title
Treasurer
Phone
(270) 351-3784

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

990 S Dixie Blvd
Suite 6
Radcliff, KY 40160-1289

Mailing address

990 S Dixie Blvd
Suite 6
Radcliff, KY 40160-1289
Phone (270) 351-3784

Other identifiers 1

IdentifierTypeStateIssuer
7100245560MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024001722 KY Part B Supplier - Mass Immunization (Roster Biller Only) 2769628684 Practice locations: Radcliff, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2154301Save Rite Drugs Radcliff990 S Dixie Ste 6, Radcliff, KY 40160Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

990 S Dixie Blvd
Ste 6
Radcliff, KY 40160
Phone (270) 351-3784

NPI Registry JSON

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

{
    "created_epoch": "1324080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1124397385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 S DIXIE BLVD",
            "address_2": "SUITE 6",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601289",
            "telephone_number": "270-351-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S DIXIE BLVD",
            "address_2": "SUITE 6",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601289",
            "telephone_number": "270-351-3784",
            "fax_number": "270-351-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVE RITE DRUGS RADCLIFF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "270-351-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100245560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.