Organization Active NPI

Sav Rite Family Pharmacy South Inc

  • Community/Retail Pharmacy
  • Somerset, KY
National Provider Identifier
1477938199
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07703 Issued in KY
Legal business name
SAV RITE FAMILY PHARMACY SOUTH INC
Practice address
5418 S Highway 27
Somerset, KY 42501-6063
Phone
(606) 802-2636
Fax
(606) 802-2635
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Randy Windham
Title
Pharmacist
Phone
(606) 802-2636

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07703 KY Primary

Addresses

Primary practice location

5418 S Highway 27
Somerset, KY 42501-6063

Mailing address

5418 S Highway 27
Somerset, KY 42501-6063
Phone (606) 802-2636

Other identifiers 3

IdentifierTypeStateIssuer
7100435970MedicaidKY
2153317OtherPK
7100370080MedicaidKY

Other names 1

  • Sav-Rite Pharmacy South Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160520000579 KY DME Supplier - Pharmacy 5294024840 Practice locations: Somerset, KY
O20171115001248 KY Part B Supplier - Mass Immunization (Roster Biller Only) 5294024840 Practice locations: Somerset, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2134771Sav-Rite Family Pharmacy South, Inc5418 South Highway 27, Somerset, KY 42501Certificate of waiverAug 8, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sav-Rite Family Pharmacy South Inc5418 S Highway 27, Somerset, KY 42501-6063(606) 802-2636 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Mar 31, 2016

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5418 S Highway 27
Somerset, KY 42501
Phone (606) 802-2636

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1477938199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 S HIGHWAY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016063",
            "telephone_number": "606-802-2636",
            "fax_number": "606-802-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 S HIGHWAY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016063",
            "telephone_number": "606-802-2636",
            "fax_number": "606-802-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAV RITE FAMILY PHARMACY SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "606-802-2636"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100435970",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153317",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100370080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sav-Rite Pharmacy South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sav-Rite Pharmacy South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.