Organization Active NPI

RX Discount of Berea PLLC

  • Community/Retail Pharmacy
  • Berea, KY
National Provider Identifier
1396975223
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07354 Issued in KY
Legal business name
RX DISCOUNT OF BEREA PLLC
Doing business as
Rx Discount of Berea, PLLC
Practice address
102 Prince Royal Dr Ste 2
Berea, KY 40403-1468
Phone
(859) 985-7283
Fax
(859) 985-0413
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Lonnie Hubbard
Title
Pharmacist
Phone
(606) 862-8261

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07354 KY Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

102 Prince Royal Dr Ste 2
Berea, KY 40403-1468

Mailing address

102 Prince Royal Dr
Suite 2
Berea, KY 40403-1468
Phone (859) 985-7283

Other identifiers 2

IdentifierTypeStateIssuer
2121292OtherPK
7100083880MedicaidKY

Other names 1

  • Rx Discount of Berea, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

216 Brenwood St
Berea, KY 40403
Phone (859) 985-7283

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1396975223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PRINCE ROYAL DR",
            "address_2": "SUITE 2",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031468",
            "telephone_number": "859-985-7283",
            "fax_number": "859-985-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PRINCE ROYAL DR STE 2",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031468",
            "telephone_number": "859-985-7283",
            "fax_number": "859-985-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX DISCOUNT OF BEREA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-862-8261"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07354",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100083880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx Discount of Berea, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.