Bluegrass Pharmacies, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

1392 Issued in KY

Legal business name

BLUEGRASS PHARMACIES, INC

Doing business as

Bluegrass Pharmacy

Practice address

1128 N Main St
Madisonville, KY 42431-1265

Phone

(270) 825-2775

Fax

(270) 825-0413

NPI assigned

Jul 19, 2005

Last updated

May 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Stephen Russell, R.PH.NPI 1821691361

Title

President

Phone

(270) 825-2775

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Bluegrass Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Stephen Russell, R.PH.

  • Pharmacist
  • Madisonville, KY
  • NPI 1821691361
  NPD Authorized official
• Nicholas Stephen Russell, PHARMD

  • Pharmacist
  • Madisonville, KY
  • NPI 1427651959
  NPD (past)
• Harriet Suzanne Weir, PHARMD

  • Pharmacist
  • Madisonville, KY
  • NPI 1558964098
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1437158730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311265",
            "telephone_number": "270-825-2775",
            "fax_number": "270-825-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311265",
            "telephone_number": "270-825-2775",
            "fax_number": "270-825-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS PHARMACIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-825-2775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "PO1392",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "1392",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "KY",
            "license": "PO1392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54016753",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy B. Blue
• Bluegrass I.V. Care, Inc. (Bluegrass Home Medical)
• Bluegrass Kids Therapy Center LLC
• Bluegrass Mobile Xray Inc
• Bluegrass Pharmacies Inc (Bluegrass LTC Pharmacy)
• Marion Kelly Boone, CSFA
• Bryan Borders
• Myrna Borders, CRNA
• James M Bowles, MD
• Charlotte Ann Bowman, RN, ADN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.