Organization Active NPI

Greensburg Discount Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Greensburg, KY
National Provider Identifier
1609995133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P07151 Issued in KY
Legal business name
GREENSBURG DISCOUNT PHARMACY
Practice address
1911 Campbellsville Rd
Greensburg, KY 42743-7758
Phone
(270) 932-2525
Fax
(270) 932-2526
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sam Matthews
Title
LPN
Phone
(606) 387-0023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P07151 KY Primary

Addresses

Primary practice location

1911 Campbellsville Rd
Greensburg, KY 42743-7758

Mailing address

1911 Campbellsville Rd
Greensburg, KY 42743-7758
Phone (270) 932-2525

Other identifiers 1

IdentifierTypeStateIssuer
54000062MedicaidKY

National Provider Directory

National Provider Directory

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609995133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 CAMPBELLSVILLE RD",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427437758",
            "telephone_number": "270-932-2525",
            "fax_number": "270-932-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 CAMPBELLSVILLE RD",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427437758",
            "telephone_number": "270-932-2525",
            "fax_number": "270-932-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBURG DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "606-387-0023"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P07151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54000062",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.