National Provider Identifier Database

BLUEGRASS MEDICAL SUPPLY INC TT
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

BLUEGRASS MEDICAL SUPPLY INC TT
636 S COLLEGE ST
HARRODSBURG, KY40330-2142
Phone: 859-734-4314
Fax: 859-734-4370
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for BLUEGRASS MEDICAL SUPPLY INC TT

NPI Number 1417040072
Legal business name
LBN
BLUEGRASS MEDICAL SUPPLY INC TT
Authorized official DOUGLAS COYLE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/02/2006
Last updated 05/23/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: P07368
  • KY Medicaid: 4590576700
  • KY Medicaid: 54024773
  • KY Medicaid: 7100089810
  • Other: 2122941 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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