Active NPI
Resilient RX LLC
- Community/Retail Pharmacy
- Paducah, KY
National Provider Identifier
1538767835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RESILIENT RX LLC
- Practice address
- 2755 W Park Dr
Paducah, KY 42001-9058 - Phone
- (270) 443-0909
- Fax
- (270) 443-5544
- NPI assigned
- Oct 9, 2020
- 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
- Brandy M. Key, PHARM. D.
- Title
- Pharmacist in Charge
- Phone
- (705) 565-6982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2755 W Park Dr
Paducah, KY 42001-9058
Mailing address
2755 W Park Dr
Paducah, KY 42001-9058
Phone (270) 443-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P08146 | Other | KY | BOARD OF PHARMACY PERMIT |
Other names 1
- West Towne Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231101001769 | KY | Part B Supplier - Pharmacy | 7416340062 | Practice locations: Paducah, 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 |
|---|---|---|---|
| 18D2239222 | Resilient RX, LLC | Certificate of waiver | Oct 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
2755 W Park Dr
Paducah, KY 42001
Phone (270) 349-0062
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
- Paducah, KY
- NPI 1407040983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1538767835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 W PARK DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019058",
"telephone_number": "270-443-0909",
"fax_number": "270-443-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 W PARK DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019058",
"telephone_number": "270-443-0909",
"fax_number": "270-443-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-09",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "KEY",
"authorized_official_first_name": "BRANDY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "705-565-6982",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY PERMIT",
"identifier": "P08146",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West Towne Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "West Towne Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.