Organization Active NPI

Regis Healthcare Inc

  • Community/Retail Pharmacy
  • Hopkinsville, KY
National Provider Identifier
1356616007
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07501 Issued in KY
Legal business name
REGIS HEALTHCARE INC
Doing business as
Save More Drugs
Practice address
2208 Fort Campbell Blvd
Hopkinsville, KY 42240-4665
Phone
(270) 885-5515
Fax
(270) 885-5591
NPI assigned
Mar 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
William Reed Ginn
Title
Pharmicist
Phone
(270) 885-5515

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P07501 KY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2208 Fort Campbell Blvd
Hopkinsville, KY 42240-4665

Mailing address

2208 Fort Campbell Blvd
Hopkinsville, KY 42240-4665
Phone (270) 885-5515

Other identifiers 2

IdentifierTypeStateIssuer
7100197140MedicaidKY
1832888OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Save More Drugs Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120810000616 KY Part B Supplier - Mass Immunization (Roster Biller Only) 2365698099 Practice locations: Hopkinsville, KY
O20121011000103 KY DME Supplier - Pharmacy 2365698099 Practice locations: Hopkinsville, 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
Regis Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2208 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 885-5515

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1356616007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 FORT CAMPBELL BLVD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404665",
            "telephone_number": "270-885-5515",
            "fax_number": "270-885-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 FORT CAMPBELL BLVD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404665",
            "telephone_number": "270-885-5515",
            "fax_number": "270-885-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "GINN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "PHARMICIST",
        "authorized_official_telephone_number": "270-885-5515"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07501",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100197140",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1832888",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Save More Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.