NPIMap

Organization Active NPI

Elydrugs of BG Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bowling Green, KY
National Provider Identifier
1902227697
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P07503 Issued in KY
Legal business name
ELYDRUGS OF BG INC.
Practice address
4863 Scottsville Rd
Bowling Green, KY 42104-7909
Phone
(270) 467-5225
NPI assigned
Dec 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Lindsey Peden, R.PH.
Title
Manager
Phone
(270) 467-5225

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P07503 KY Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X P07503 KY
Oxygen Equipment & Supplies (DME) 332BX2000X P07503 KY

Addresses

Primary practice location

4863 Scottsville Rd
Bowling Green, KY 42104-7909

Mailing address

4863 Scottsville Rd
Bowling Green, KY 42104-7909
Phone (270) 467-5225

Other identifiers 1

IdentifierTypeStateIssuer
710002368MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Ely Drugs of BG Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1902227697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047909",
            "telephone_number": "270-467-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047909",
            "telephone_number": "270-467-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYDRUGS OF BG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "PEDEN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "270-467-5225",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P07503",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "P07503",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "P07503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710002368",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.