Bluegrass Drug Store PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07500 Issued in KY

Legal business name

BLUEGRASS DRUG STORE PLLC

Doing business as

Bluegrass Drug Store

Practice address

104 Ponder CT Ste E&F
Danville, KY 40422-9000

Phone

(859) 236-3535

Fax

(859) 236-3035

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By 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

Mark TaylorNPI 1639768294

Title

Co-Owner/Pic

Phone

(859) 236-3535

Specialties & licenses 1

Addresses

Other names 1

• Bluegrass Drug Store Doing business as

Locations

Practitioners 1

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.

• Mark Allen Taylor, PHARMD, RPH

  • Ambulatory Care Pharmacist
  • Danville, KY
  • NPI 1639768294
  NPD Authorized official

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1285900860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PONDER CT STE E&F",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229000",
            "telephone_number": "859-236-3535",
            "fax_number": "859-236-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PONDER CT STE E&F",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229000",
            "telephone_number": "859-236-3535",
            "fax_number": "859-236-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS DRUG STORE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-OWNER/PIC",
        "authorized_official_telephone_number": "859-236-3535"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Olivia Bishop
• Pamela K. Blackburn-Noble, LCSW
• Peggy Kessler Bland, MRS
• Bluegrass Brace Shop, LLC
• Bluegrass Chiro
• Bluegrass Hearing Clinic, LLC
• Bluegrass Neurological Services, PSC
• Bluegrass Psychiatry, Inc.
• Amy Jane Bogardus, D.M.D.
• Christopher Lee Bostick, D.M.D.

• Community/Retail Pharmacy in Danville, KY
• Providers in Danville, 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 Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.