Radcliff Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07533 Issued in KY

Legal business name

RADCLIFF PHARMACY LLC

Doing business as

Radcliff Pharmacy LLC

Practice address

800 W Lincoln Trail Blvd Ste 100
Radcliff, KY 40160-2671

Phone

(270) 351-7400

Fax

(270) 351-7474

NPI assigned

Nov 8, 2012

Last updated

May 18, 2020By 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

Navas Yoonus

Title

Owner, Ceo

Phone

(615) 525-3142

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RADCLIFF PHARMACY LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1790039956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W LINCOLN TRAIL BLVD STE 100",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602671",
            "telephone_number": "270-900-1584",
            "fax_number": "270-900-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W LINCOLN TRAIL BLVD STE 100",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602671",
            "telephone_number": "270-351-7400",
            "fax_number": "270-351-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADCLIFF PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "YOONUS",
        "authorized_official_first_name": "NAVAS",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "615-525-3142"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07533",
            "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": "2137761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADCLIFF PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RADCLIFF PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Proctor Family Dental Radcliff
• Carolina Pulgar, CSW
• Bernardette Quimby
• Saadia Qureshi, MD
• Radcliff Pediatrics ,PSC
• Radcliff Urgent Care Clinic LLC
• Taira Rauch
• Rehab Resource
• Rehab Resource Inc
• Renest Irise

• Community/Retail Pharmacy in Radcliff, KY
• Providers in Radcliff, 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 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.