Danville Value Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06861 Issued in KY

Legal business name

DANVILLE VALUE PHARMACY LLC

Doing business as

Good Neighbor Pharmacy

Practice address

60 Cassidy Way # 3
Danville, KY 40422-8457

Phone

(859) 936-1222

Fax

(859) 936-2003

NPI assigned

Nov 17, 2006

Last updated

Aug 29, 2013By 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

Mr. Raymond Kenneth Float, RPH

Title

Owner

Phone

(859) 936-1222

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Good Neighbor Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

Danville Value Pharmacy2 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.

• Danville Value Pharmacy

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Danville, KY
  • NPI 1255312062
  NPD tax ID

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1902970304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CASSIDY WAY # 3",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228457",
            "telephone_number": "859-936-1222",
            "fax_number": "859-936-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CASSIDY WAY # 3",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228457",
            "telephone_number": "859-936-1222",
            "fax_number": "859-936-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE VALUE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "FLOAT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-936-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P06861",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "P06861",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54005095",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1827938",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90007733",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Neighbor Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Barbara E Dawson
• Tyler Joel Daylong, OTD, OTR/L

• Community/Retail Pharmacy in Danville, KY
• Providers in Danville, 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 Aug 29, 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.