Active NPI
Grant County Drugs Inc
- Community/Retail Pharmacy
- Dry Ridge, KY
National Provider Identifier
1962500934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P06853
- Legal business name
- GRANT COUNTY DRUGS INC
- Practice address
- 24 S Main St
Dry Ridge, KY 41035-7329 - Phone
- (859) 823-5271
- Fax
- (859) 823-0039
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Wallace, RPH
- Title
- Owner
- Phone
- (859) 823-5271
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P06853 | KY | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
24 S Main St
Dry Ridge, KY 41035-7329
Mailing address
PO Box 106
Dry Ridge, KY 41035-0106
Phone (859) 823-5271
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54008925 | Medicaid | KY | |
| 90020413 | Medicaid | KY | |
| 2027882 | Other | PK |
Other names 1
- GRANT COUNTY DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050422000303 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1658319330 | Practice locations: Dry Ridge, KY |
| O20100930014892 | KY | DME Supplier - Pharmacy | 1658319330 | Practice locations: Dry Ridge, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Grant County Drugs Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Orthos… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
24 S Main St
Dry Ridge, KY 41035
Phone (859) 823-5271
302 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-4239
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dry Ridge, KY
- NPI 1316522444
-
- Pharmacist
- Cincinnati, OH
- NPI 1003401597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1962500934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 106",
"city": "DRY RIDGE",
"state": "KY",
"postal_code": "410350106",
"telephone_number": "859-823-5271",
"fax_number": "859-823-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 S MAIN ST",
"city": "DRY RIDGE",
"state": "KY",
"postal_code": "410357329",
"telephone_number": "859-823-5271",
"fax_number": "859-823-0039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT COUNTY DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2025-09-19",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-823-5271",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P06853",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54008925",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90020413",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2027882",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GRANT COUNTY DRUGS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GRANT COUNTY DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dry Ridge, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.