Organization Active NPI

Silvers Hometown Pharmacy LLC

  • Community/Retail Pharmacy
  • Monticello, KY
National Provider Identifier
1992104442
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07645 Issued in KY
Legal business name
SILVERS HOMETOWN PHARMACY LLC
Practice address
1251 W Columbia Ave
Monticello, KY 42633-3177
Phone
(606) 343-0101
Fax
(606) 343-0041
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Mr. Bryce A Childers, PHARMDNPI 1295322741
Title
Owner/President
Phone
(606) 343-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P07645 KY Primary

Addresses

Primary practice location

1251 W Columbia Ave
Monticello, KY 42633-3177

Mailing address

1251 W Columbia Ave
Monticello, KY 42633-3177
Phone (606) 343-0101

Other identifiers 3

IdentifierTypeStateIssuer
7100660260MedicaidKY
P07645OtherKYPHARMACY PERMIT NUMBER
1834565OtherKYNCPDP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160504002004 KY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 6901105469 Practice locations: Monticello, KY
O20160712002990 KY Part B Supplier - Mass Immunization (Roster Biller Only) 6901105469 Practice locations: Monticello, KY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Silvers Hometown Pharmacy LLC1251 W Columbia Ave, Monticello, KY 42633-3177(606) 343-0101 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1992104442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 W COLUMBIA AVE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426333177",
            "telephone_number": "606-343-0101",
            "fax_number": "606-343-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W COLUMBIA AVE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426333177",
            "telephone_number": "606-343-0101",
            "fax_number": "606-343-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERS HOMETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "606-343-0101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100660260",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT NUMBER",
            "identifier": "P07645",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1834565",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.