BLUEGRASS PHARMACIES INC NPI 1437158730

NPI Information

  • NPI: 1437158730
  • Provider Name: BLUEGRASS PHARMACIES, INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: BLUEGRASS PHARMACY
  • CLIA Number: 18D2062191
  • Address: 1128 N MAIN ST
    MADISONVILLE, KY
    ZIP 42431
  • Phone: (270) 825-2775

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NPI Details

BLUEGRASS PHARMACIES, INC is a pharmacy in Madisonville, KY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BLUEGRASS PHARMACIES, INC NPI is 1437158730. The provider is registered as an organization entity type.
The provider Is Doing Business As Bluegrass Pharmacy.

The provider's business location address is:

1128 N MAIN ST
MADISONVILLE, KY
ZIP 42431-265
Phone: (270) 825-2775
Fax: (270) 825-0413

The provider's authorized official is Gary Stephen Russell .
The authorized official title is President and has the following contact phone number (270) 825-2775.

The CLIA number assigned to this NPI record is 18D2062191 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 5/20/2015.

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 SuppliesPO1392KENTUCKYNo
23336H0001XPharmacyHome Infusion Therapy PharmacyPO1392KENTUCKYNo
3333600000XPharmacy1392KENTUCKYYes

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
154016753MEDICAIDKENTUCKY
20401900001MEDICARE NSCKENTUCKY

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: 11/21/2025

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