Ely Drugs of BG Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07516 Issued in KY

Legal business name

ELY DRUGS OF BG INC

Doing business as

Ely Drug of Bowling Green

Practice address

4863 Scottsville Rd
Bowling Green, KY 42104-7909

Phone

(270) 467-5225

Fax

(270) 467-0542

NPI assigned

Aug 6, 2012

Last updated

Aug 10, 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

Lindsey PedenNPI 1033709928

Title

Pharmacist

Phone

(270) 467-5225

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ely Drug of Bowling Green Doing business as

Medicare fee-for-service enrollment

Enrolled in KY3 enrollments

Enrollment records 3

Locations

Practitioners 1

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.

• Lindsey Peden

  • Pharmacist
  • Bowling Green, KY
  • NPI 1033709928
  Authorized official Same address or phone

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1528315918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047909",
            "telephone_number": "270-467-5225",
            "fax_number": "270-467-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047909",
            "telephone_number": "270-467-5225",
            "fax_number": "270-467-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELY DRUGS OF BG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "PEDEN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "270-467-5225"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07516",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ely Drug of Bowling Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Elliott
• Randall Harley Elliott, DMD
• Jonathan David Ellis, BS, RBT
• Kimberly Renee Ellis, MT
• Ely Drugs of BG Inc
• Ely Special Pharmacy Inc. (Ely Specialty Pharmacy)
• Elydrugs of BG Inc.
• Tullio Emanuele, M.D.
• Dana Faye Emberton-Tinius, APRN
• Ashleigh Rashell Emberton, CSW

• Community/Retail Pharmacy in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.