Organization Active NPI

Value RX Bluegrass LLC

Doing business as Cayce's Pharmacy

  • Pharmacy
  • Hopkinsville, KY
National Provider Identifier
1609867290
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P07815 Issued in KY
Legal business name
VALUE RX BLUEGRASS LLC
Doing business as
Cayce's Pharmacy
Practice address
1112 W 7TH St
Hopkinsville, KY 42240-1818
Phone
(270) 886-4466
Fax
(270) 886-8915
NPI assigned
Nov 2, 2005
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Todd Walters, R.PH.
Title
Owner
Phone
(270) 886-4466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X P07815 KY Primary

Addresses

Primary practice location

1112 W 7TH St
Hopkinsville, KY 42240-1818

Mailing address

1112 West 7TH St
PO Box 4022
Hopkinsville, KY 42241
Phone (270) 886-4466

Other identifiers 2

IdentifierTypeStateIssuer
90120247MedicaidKY
54017348MedicaidKY

Other names 1

  • Cayce's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1112 W 7th St
Hopkinsville, KY 42240
Phone (270) 886-4466

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1609867290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WEST 7TH ST",
            "address_2": "PO BOX 4022",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42241",
            "telephone_number": "270-886-4466",
            "fax_number": "270-886-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W 7TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401818",
            "telephone_number": "270-886-4466",
            "fax_number": "270-886-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE RX BLUEGRASS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-886-4466",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90120247",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54017348",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cayce's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.