Pennyrile Home Medical

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PENNYRILE HOME MEDICAL

Practice address

830 Fairview Ave Ste B5
Bowling Green, KY 42101-4912

Phone

(270) 393-9393

Fax

(270) 393-9383

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

David Chesnut

Title

Owner

Phone

(270) 885-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1841863396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-885-2500",
            "fax_number": "270-889-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FAIRVIEW AVE STE B5",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014912",
            "telephone_number": "270-393-9393",
            "fax_number": "270-393-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "CHESNUT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-885-2500"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua A Pedigo, M.D.
• Lereasa Lynne Pedigo, CADC
• Brandie Pellett
• Brittany Pelly, BS
• Debra K Pendleton, LPN
• Karmen Penrose, APRN
• Melanie K Perez Avalo
• Rachel E Perkins, APRN
• Robert Perkins III
• Jessica Elaine Perkinson

• Oxygen Equipment & Supplies (DME) in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Oxygen Equipment & Supplies (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.