Rick's Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PO6149 Issued in KY

Legal business name

RICK'S PHARMACY, INC.

Practice address

3001 Schneidman Rd
Paducah, KY 42003-3541

Phone

(270) 443-7200

Fax

(270) 443-8537

NPI assigned

Jul 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Rick R Timmons, RPH

Title

Owner/Operator

Phone

(270) 443-7200

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rick' S Pharmacy, Inc.

  • Pharmacy
  • Paducah, KY
  • NPI 1376544957

  O20040716000635

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debbie B Henderson, RPH.

  • Pharmacist
  • Paducah, KY
  • NPI 1144333865
  NPD (past)
• Brandy Trice Simmons, PHARM.D.

  • Pharmacist
  • Paducah, KY
  • NPI 1407040983
  NPD (past)

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1891792057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SCHNEIDMAN RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033541",
            "telephone_number": "270-443-7200",
            "fax_number": "270-443-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SCHNEIDMAN RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033541",
            "telephone_number": "270-443-7200",
            "fax_number": "270-443-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-02",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "270-443-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "90380734",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "PO6149",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "KY",
            "license": "PO6149",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "PO6149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "1823613",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90380734",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54030697",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Richardson
• Lynn Marie Richendollar, BIS, TCADC
• Deborah B Richie, LSW
• Rick' S Pharmacy, Inc.
• Rick' S Pharmacy, Inc.
• Emily Rickman, MS, CF-SLP
• Michelle Elizabeth Riffe
• Jeffrey Alan Riley
• Joy Diane Cooksey Riley, MS, CCC-SLP
• Karson Riley, DPT

• Pharmacy in Paducah, KY
• Providers in Paducah, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.