Active NPI
Sav Rite Family Pharmacy South Inc
- Community/Retail Pharmacy
- Somerset, KY
National Provider Identifier
1477938199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07703
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100435970 | Medicaid | KY | |
| 2153317 | Other | PK | |
| 7100370080 | Medicaid | KY |
Other names 1
- Sav-Rite Pharmacy South
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2134771 | Sav-Rite Family Pharmacy South, Inc | Certificate of waiver | Aug 8, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Sav-Rite Family Pharmacy South Inc | 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 assignment |
National Provider Directory
National Provider DirectoryMember 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.
-
- Pharmacist
- Somerset, KY
- NPI 1760964472
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.