Value RX Bluegrass

Primary specialty

PharmacyTaxonomy code 333600000X

License

P07816 Issued in KY

Legal business name

VALUE RX BLUEGRASS

Doing business as

Cayce's Eagle Way Pharmacy

Practice address

211 Burley Ave
Hopkinsville, KY 42240

Phone

(270) 885-1220

Fax

(270) 885-5454

NPI assigned

Dec 29, 2016

Last updated

Dec 29, 2016By 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

Todd Walters, RPH

Title

Memeber

Phone

(606) 269-2965

Specialties & licenses 2

Addresses

Other names 1

• Cayce's Eagle Way Pharmacy Doing business as

Tax ID family

Cayce's Eagle Way 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.

• Value RX Bluegrass

  • Pharmacy
  • Pineville, KY
  • NPI 1588109565
  NPD tax ID

Locations

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1952846966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-885-1220",
            "fax_number": "270-885-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-885-1220",
            "fax_number": "270-885-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE RX BLUEGRASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MEMEBER",
        "authorized_official_telephone_number": "606-269-2965",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cayce's Eagle Way Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rocky Trusty
• Reginald Tryon, DDS
• Ashley Turley
• Vicki H Turner, CRNA
• George R Valentini, M.D.
• Value RX Bluegrass LLC (Cayce's Eagle Way Pharmacy)
• Value RX Bluegrass LLC (Cayce's Pharmacy)
• Joseph M Vance, MD
• Vanderbilt Integrated Providers, LLC (Vanderbilt Pediatric Associates)
• Francis M Vanmeter, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.