Active NPI
Cover Drug Stores LLC
- Pharmacy
- Raceland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Curtis Lee Bradley, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190502002981 | KY | DME Supplier - Pharmacy | 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cover Drug Stores LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Wurtland, KY
- NPI 1699078022
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.