Active NPI
Riley-White, Inc.
- Durable Medical Equipment & Medical Supplies
- Bowling Green, KY
National Provider Identifier
1184640294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- P02496
- Legal business name
- RILEY-WHITE, INC.
- Doing business as
- R-W Vital Care II
- Practice address
- 201 Park St
Bowling Green, KY 42101-1759 - Phone
- (270) 726-7626
- NPI assigned
- Jul 14, 2006
- 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
- Donald Riley
- Title
- President
- Phone
- (270) 726-7626
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P02496 | KY | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | P02496 | KY | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | P02496 | KY | |
| Pharmacy | 333600000X | P02496 | KY | |
| Community/Retail Pharmacy | 3336C0003X | P02496 | KY | |
| Home Infusion Therapy Pharmacy | 3336H0001X | P02496 | KY | |
| Mail Order Pharmacy | 3336M0002X | P02496 | KY | |
| Specialty Pharmacy | 3336S0011X | P02496 | KY |
Addresses
Primary practice location
201 Park St
Bowling Green, KY 42101-1759
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4052292 | Other | TN | BCBS NON PAR |
| 000000323901 | Other | KY | BCBS NPAR (HIT) |
| 54028618 | Medicaid | KY | |
| 90341140 | Medicaid | KY | |
| A546/000000070079 | Other | KY | BCBS |
Other names 1
- R-W Vital Care II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076320 | KY | DME Supplier - Pharmacy | 9032286661 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bowling Green, KY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Bowling Green, KY
- NPI 1356412787
O20100930076320
National Provider Directory
National Provider DirectoryLocations
1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1184640294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5047",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025047",
"telephone_number": "800-447-4095",
"fax_number": "601-482-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011759",
"telephone_number": "270-726-7626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RILEY-WHITE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-726-7626"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P02496",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "KY",
"license": "P02496",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "KY",
"license": "P02496",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": "P02496",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P02496",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "KY",
"license": "P02496",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "KY",
"license": "P02496",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "KY",
"license": "P02496",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NON PAR",
"identifier": "4052292",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NPAR (HIT)",
"identifier": "000000323901",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54028618",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90341140",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "A546/000000070079",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "R-W Vital Care II",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.