NPIMap

Organization Active NPI

Ephraim McDowell Regional Medical Center, Incorporated

Doing business as Ephraim McDowell Bluegrass Drug Store

  • Community/Retail Pharmacy
  • Danville, KY
National Provider Identifier
1831923291
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED
Doing business as
Ephraim McDowell Bluegrass Drug Store
Practice address
150 War Admiral Ste 1
Danville, KY 40422-8690
Phone
(859) 239-3535
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Sarah VickeyNPI 1366574634
Title
Pharm.D.
Phone
(859) 239-1706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

150 War Admiral Ste 1
Danville, KY 40422-8690

Mailing address

150 War Admiral Ste 1
Danville, KY 40422-8690
Phone (859) 239-3535

Other identifiers 1

IdentifierTypeStateIssuer
P08354OtherKY(NON-MEDICARE)

Other names 1

  • Ephraim McDowell Bluegrass Drug Store Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241111002520 KY Part B Supplier - Mass Immunization (Roster Biller Only) 3375506447 Practice locations: Danville, KY

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
McDowell Medsource14 organizations share this tax ID, including this one
Part of
McDowell Medsource

Other organizations with this tax ID 13

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

View all 13

Locations

230 W Main St
Ste 400
Danville, KY 40422
Phone (502) 907-0356

330 S 4th St
Danville, KY 40422
Phone (859) 239-1691

520 Techwood Dr N
Ste 100
Danville, KY 40422
Phone (859) 236-2203

513 Middleburg St
Liberty, KY 42539
Phone (606) 787-5990

68 Hustonville St
Liberty, KY 42539
Phone (606) 787-0468

Practitioners & affiliated clinicians

Practitioners 88

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.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1831923291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WAR ADMIRAL STE 1",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228690",
            "telephone_number": "859-239-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WAR ADMIRAL STE 1",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228690",
            "telephone_number": "859-239-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "VICKEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHARM.D.",
        "authorized_official_telephone_number": "859-239-1706"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "(NON-MEDICARE)",
            "identifier": "P08354",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ephraim McDowell Bluegrass Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.