NPIMap

Organization Active NPI

Riley White Inc

Doing business as Clinic Pharmacy Franklin

  • Community/Retail Pharmacy
  • Franklin, KY
National Provider Identifier
1740726215
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07819 Issued in KY
Legal business name
RILEY WHITE INC
Doing business as
Clinic Pharmacy Franklin
Practice address
1112 S Main St Ste 2
Franklin, KY 42134-2322
Phone
(270) 482-0130
Fax
(270) 586-4220
NPI assigned
Jan 9, 2017
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Donald Riley, RPH
Title
President,Pic, Ao
Phone
(270) 893-1294

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P07819 KY Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1112 S Main St Ste 2
Franklin, KY 42134-2322

Mailing address

1112 S Main St Ste 2
Franklin, KY 42134-2322
Phone (270) 482-0130

Other identifiers 1

IdentifierTypeStateIssuer
2167020OtherPK

Other names 1

  • Clinic Pharmacy Franklin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180824002482 KY DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Orthotic Personnel 9032286661 Practice locations: Franklin, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Clinic Pharmacy Franklin1112 S Main St, Franklin, KY 42134-2322(270) 482-0130 Immunosuppressive Drugs|Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Traction Equipment|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Relat… Does not accept assignmentParticipating since Sep 24, 2008

National Provider Directory

National Provider Directory
Tax ID family
Riley-White Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1112 S Main St
Ste 2
Franklin, KY 42134
Phone (270) 482-0130

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1740726215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S MAIN ST STE 2",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342322",
            "telephone_number": "270-482-0130",
            "fax_number": "270-782-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S MAIN ST STE 2",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342322",
            "telephone_number": "270-482-0130",
            "fax_number": "270-586-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY WHITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT,PIC, AO",
        "authorized_official_telephone_number": "270-893-1294",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07819",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Pharmacy Franklin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinic Pharmacy Franklin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, KY

Sources for this page

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