Active NPI
RX Discount of Berea PLLC
- Community/Retail Pharmacy
- Berea, KY
National Provider Identifier
1396975223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07354
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121292 | Other | PK | |
| 7100083880 | Medicaid | KY |
Other names 1
- Rx Discount of Berea, PLLC
National Provider Directory
National Provider DirectoryLocations
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
- Katelyn Richards
- Dasen R Ritchey, M.D.
- Jacob Snow Roberts
- Amber Savannah Rose, MA
- Rural Health PLLC (Berea Walk-In Clinic)
- Nancy Ruth Ryan, M.D.
- Saint Joseph Berea Hospital Outpatient Pharmacy
- Saint Joseph Health System Inc. (Saint Joseph Berea Family Medicine)
- Saint Joseph Health System, Inc (CHI Saint Joseph Berea)
- Saint Joseph Health System, Inc (CHI Saint Jospeh Berea SNF)
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.