Pharmacy, Inc.
Organization Active NPI Oxygen Equipment & Supplies (DME) · Paducah, KY
NPI 1376199182 · NPPES record last updated May 22, 2026
Key facts
- NPI
- 1376199182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- PHARMACY, INC.
- Practice address
- 120 Cave Thomas Dr Ste B
Paducah, KY 42001-5808 - Phone
- (270) 322-2073
- Fax
- (270) 908-3292
- NPI assigned
- Aug 16, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- AEROCARE HOLDINGS, INC.
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 2
Member organizations 24
Practitioners 2
-
Thomas Joseph Fry, RPH
-
Jeannie Watson Saylor, R.P.H.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmacy Inc |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Negative Pressure Wound Therapy Pumps/Supp… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191106000454 | KY | DME Supplier - Medical Supply Company |
3577684794 | Practice locations: Paducah, KY |
National Provider Directory
- Tax ID family
- Pharmacy Inc
- Part of
- Aerocare Holdings Inc
Locations
125 S 20th St
Ste 2
Paducah, KY 42001
Phone (270) 205-4414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Yes |
Addresses
Primary practice location
120 Cave Thomas Dr Ste B
Paducah, KY 42001-5808
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other names
- AeroCare
Other providers in Paducah, KY
- Personal Medicine Plus Inc
- Jeanne Peters
- Ashley Peterson
- John Paul Hobbs Peterson
- Samuel Peterson
- Catryna Michele Phelps
- Kathy Dianne Phelps
- Philip G Hunt M D Orthopedics P S C
- Christopher Raymond Phillips
- Russell Glenn Phillips
All providers in Paducah, KY · Oxygen Equipment & Supplies (DME) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.