Organization Active NPI

Resilient RX LLC

  • Community/Retail Pharmacy
  • Paducah, KY
National Provider Identifier
1538767835
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Oct 5, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P08146OtherKYBOARD OF PHARMACY PERMIT

Other names 1

  • West Towne Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231101001769 KY Part B Supplier - Pharmacy 7416340062 Practice locations: Paducah, 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
18D2239222Resilient RX, LLC2755 West Park Drive, Paducah, KY 42001Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.