Organization Active NPI

Rite Value Pharmacy LLC

  • Community/Retail Pharmacy
  • Louisa, KY
National Provider Identifier
1518015569
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07041 Issued in KY
Legal business name
RITE VALUE PHARMACY LLC
Doing business as
RITE VALUE PHARMACY
Practice address
2673 Highway 644 Ste 1
Louisa, KY 41230-5922
Phone
(606) 638-9627
Fax
(606) 638-4169
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Clayton Wells, PHARMDNPI 1316538275
Title
President
Phone
(606) 638-9627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07041 KY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2673 Highway 644 Ste 1
Louisa, KY 41230-5922

Mailing address

PO Box 297
Louisa, KY 41230-0297
Phone (606) 638-9627

Other identifiers 4

IdentifierTypeStateIssuer
3810002982MedicaidWV
2034325OtherPK
54010442MedicaidKY
90011727MedicaidKY

Other names 1

  • RITE VALUE PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930008388 KY DME Supplier - Pharmacy 7719198316 Practice locations: Louisa, KY
O20160909001925 KY Part B Supplier - Mass Immunization (Roster Biller Only) 7719198316 Practice locations: Louisa, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rite Value Pharmacy2673 Highway 644, Louisa, KY 41230-5922(606) 638-9627 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory

Locations

2673 Highway 644
#1
Louisa, KY 41230
Phone (606) 638-9627

2583 Highway 644
#3
Louisa, KY 41230
Phone (606) 638-9627

Practitioners & affiliated clinicians

Practitioners 2

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1518015569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300297",
            "telephone_number": "606-638-9627",
            "fax_number": "606-638-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 HIGHWAY 644 STE 1",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412305922",
            "telephone_number": "606-638-9627",
            "fax_number": "606-638-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE VALUE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-638-9627",
        "authorized_official_credential": "PHARMD"
    },
    "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": "P07041",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002982",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54010442",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90011727",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE VALUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.