RILEY WHITE INC NPI 1073680864

NPI Information

  • NPI: 1073680864
  • Provider Name: RILEY WHITE INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 18D1082559
  • Address: 153 PARK SQUARE NW
    RUSSELLVILLE, KY
    ZIP 42276
  • Phone: (270) 726-7626

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NPI Details

RILEY WHITE INC is a durable medical equipment medical supplies in Russellville, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. RILEY WHITE INC NPI is 1073680864. The provider is registered as an organization entity type.

The provider's business location address is:

153 PARK SQUARE NW
RUSSELLVILLE, KY
ZIP 42276
Phone: (270) 726-7626
Fax: (270) 726-7879

The provider's authorized official is Jerrold D White .
The authorized official title is Co Owner Manager and has the following contact phone number (270) 726-7626.

The CLIA number assigned to this NPI record is 18D1082559 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 6/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesP06574KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10305500003MEDICARE PIN
20305500003MEDICARE NSCKENTUCKY
390170713MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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