Organization Active NPI

Cover Drug Stores LLC

  • Pharmacy
  • Raceland, KY
National Provider Identifier
1144790072
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
COVER DRUG STORES LLC
Practice address
719 Greenup Ave
Raceland, KY 41169-1166
Phone
(606) 836-7267
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Curtis Lee Bradley, RPHNPI 1699078022
Title
Pharmacist
Phone
(606) 585-3633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary

Addresses

Primary practice location

719 Greenup Ave
Raceland, KY 41169-1166

Mailing address

719 Greenup Ave
Raceland, KY 41169-1166
Phone (606) 836-7267

Other names 1

  • RAM Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190502002981 KY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3779825286 Practice locations: Raceland, KY
O20190731003724 KY Part B Supplier - Mass Immunization (Roster Biller Only) 3779825286 Practice locations: Raceland, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cover Drug Stores LLC719 Greenup Ave, Raceland, KY 41169-1166(606) 836-7267 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory

Locations

719 Greenup Ave
Russell, KY 41169
Phone (606) 836-7267

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1144790072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 GREENUP AVE",
            "city": "RACELAND",
            "state": "KY",
            "postal_code": "411691166",
            "telephone_number": "606-836-7267",
            "fax_number": "606-836-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREENUP AVE",
            "city": "RACELAND",
            "state": "KY",
            "postal_code": "411691166",
            "telephone_number": "606-836-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVER DRUG STORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-585-3633",
        "authorized_official_credential": "RPH"
    },
    "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raceland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.