NPIMap

Organization Active NPI

Beechmont Pharmacy, Inc

Doing business as Greenville Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Greenville, KY
National Provider Identifier
1326179490
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BEECHMONT PHARMACY, INC
Doing business as
Greenville Pharmacy
Practice address
117 N Main St
Greenville, KY 42345-2902
Phone
(270) 338-3800
Fax
(270) 338-9903
NPI assigned
Mar 8, 2007
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Elizabeth Ann Gentry, RPH
Title
Secretary
Phone
(270) 338-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X KY Primary

Addresses

Primary practice location

117 N Main St
Greenville, KY 42345-2902

Mailing address

117 N Main St
Greenville, KY 42345-2902
Phone (270) 338-3800

Other identifiers 3

IdentifierTypeStateIssuer
084356OtherKYSALES TAX
9008089600MedicaidKY
1820922OtherKYNABP

Other names 1

  • Greenville Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930063925 KY DME Supplier - Pharmacy 1951428606 Practice locations: Greenville, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Beechmont Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1326179490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423452902",
            "telephone_number": "270-338-3800",
            "fax_number": "270-338-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423452902",
            "telephone_number": "270-338-3800",
            "fax_number": "270-338-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHMONT PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "270-338-3800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SALES TAX",
            "identifier": "084356",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9008089600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1820922",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.

Verify at the official NPI Registry.