Rick' S Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PO6857 Issued in KY

Legal business name

RICK' S PHARMACY, INC.

Practice address

2700 HC Mathis Dr
Paducah, KY 42001-3704

Phone

(270) 444-2022

Fax

(270) 444-9758

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Rita D. Timmons

Title

Vice President

Phone

(270) 444-2022

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rick'S Pharmacy, Inc.

  • Pharmacy
  • Paducah, KY
  • NPI 1891792057

  O20040716000635

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debbie B Henderson, RPH.

  • Pharmacist
  • Paducah, KY
  • NPI 1144333865
  NPD (past)
• Brandy Trice Simmons, PHARM.D.

  • Pharmacist
  • Paducah, KY
  • NPI 1407040983
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1376544957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HC MATHIS DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420013704",
            "telephone_number": "270-444-2022",
            "fax_number": "270-444-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HC MATHIS DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420013704",
            "telephone_number": "270-444-2022",
            "fax_number": "270-444-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK' S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "270-444-2022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "PO6857",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "PO6857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP# CP",
            "identifier": "1827899",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006826",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54004809",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nicole Richardson
• Sarah Lynn Richardson, APRN
• Savannah Richardson
• Lynn Marie Richendollar, BIS, TCADC
• Deborah B Richie, LSW
• Rick' S Pharmacy, Inc.
• Rick'S Pharmacy, Inc.
• Emily Rickman, MS, CF-SLP
• Michelle Elizabeth Riffe
• Jeffrey Alan Riley

• Pharmacy in Paducah, KY
• Providers in Paducah, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.