David R. Whitley

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01622 Issued in KY

Legal business name

DAVID R. WHITLEY

Doing business as

Whitley's Pharmacy

Practice address

501 N Main St
Russellville, KY 42276-1636

Phone

(270) 726-9592

Fax

(270) 726-9881

NPI assigned

Feb 13, 2007

Last updated

May 22, 2013By 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

David Randall WhitleyNPI 1568504520

Title

Owner , R.PH.

Phone

(270) 726-9592

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Whitley's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• David Randall Whitley

  • Pharmacist
  • Russellville, KY
  • NPI 1568504520
  NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1649312778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761636",
            "telephone_number": "270-726-9592",
            "fax_number": "270-726-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761636",
            "telephone_number": "270-726-9592",
            "fax_number": "270-726-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. WHITLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER , R.PH.",
        "authorized_official_telephone_number": "270-726-9592"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P01622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54018767",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1815072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitley's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Russellville, KY
• Providers in Russellville, 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 May 22, 2013; 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.