REISZ PHARMACEUTICALS VITAL CARE, INC. (NPI# 1164432126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164432126 |
Entity Type | Organization |
Organization Name | REISZ PHARMACEUTICALS VITAL CARE, INC. |
Other Organization Name | REISZ PHARMACEUTICALS VITAL CARE |
Practice Address |
2315 Mayfair Dr Mayfair Square Professional Building Owensboro KY 42301-4557 |
Mailing Address |
Po Box 5047 Meridian MS 39302-5047 |
Practice Telephone | 2706837379 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | E REISZ (OWNER) |
Authorized Official Telephone | 2706837379 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
P02023 | KY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CHAMPUS/TRICARE | 61128006 | 01 | |
UMWA | 1445572 | 01 | |
KY | 54029384 | 05 | |
KY | 90140302 | 05 | |
KY | BCBS | 000000069966 | 01 |
TN | BCBS, NON-PAR | 4055675 | 01 |
Other Name | Type Code |
---|---|
Reisz Pharmaceuticals Vital Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275543423 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-09 |
1538272968 | Reisz Pharmaceuticals Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-17 |
1972616308 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-17 |
1780797662 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-16 |
1841303732 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-16 |
1801807045 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-11 |
1952312449 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-10 |
Street Address |
2315 MAYFAIR DR MAYFAIR SQUARE PROFESSIONAL BUILDING |
City | OWENSBORO |
State | KY |
Zip Code | 42301-4557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275543423 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-09 |
1518374024 | Mandy Crawford Family Practice Plc | Nurse Practitioner | 2315 Mayfair Dr, Suite 16, Owensboro, KY 42301-4557 | 2014-07-16 |
1205175221 | Amanda Rae Crawford | Nurse Practitioner | 2315 Mayfair Dr, Suite 16, Owensboro, KY 42301-4557 | 2013-02-12 |
1518214253 | Dodie Lynn Kirkendoll | Nurse Practitioner | 2315 Mayfair Dr, Suite 9, Owensboro, KY 42301-4557 | 2012-08-13 |
1790002079 | Jennifer A Martin Md Pllc | Surgery | 2315 Mayfair Dr, Suite 9, Owensboro, KY 42301-4557 | 2010-04-27 |
1386874311 | Owensboro-daviess County Regional Dental Clinic Inc | Dentist | 2315 Mayfair Dr, Suite 32, Owensboro, KY 42301-4557 | 2009-07-24 |
1881846509 | Dodie Kirkendoll | Nurse Practitioner | 2315 Mayfair Dr, Suite 9, Owensboro, KY 42301-4557 | 2008-10-13 |
1710179155 | Randy J Cox,mdpsc | Psychiatry & Neurology | 2315 Mayfair Dr, Owensboro, KY 42301-4557 | 2007-08-09 |
1508988429 | Lori Arnold Boyd | Dentist | 2315 Mayfair Dr, Suite 22-24, Owensboro, KY 42301-4557 | 2007-04-03 |
1205960036 | William P. Strueh | Dentist | 2315 Mayfair Dr, Suite 19, Owensboro, KY 42301-4557 | 2007-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
Find all providers in zip 42301 |
Taxonomy Code | 332BP3500X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Parenteral & Enteral Nutrition |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
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1346769304 | J&c Investments Inc | Durable Medical Equipment & Medical Supplies | 116 Clark St, Flemingsburg, KY 41041 | 2017-09-11 |
1669761391 | Blaze Valley Corporation | Durable Medical Equipment & Medical Supplies | 974 Piney Grove Rd, Somerset, KY 42501-5476 | 2011-04-04 |
1790094530 | Mattress Gallery | Durable Medical Equipment & Medical Supplies | 3125 Lone Oak Rd, Suite B, Paducah, KY 42003-5743 | 2010-09-28 |
1649400771 | Community Oxygen & Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 112 W. 12th St., Beaver Dam, KY 42320-0025 | 2009-07-23 |
1568696912 | Genesis Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 499 Tucker Dr, Maysville, KY 41056-9111 | 2009-05-13 |
1194967109 | Pikeville Medical Center Inc. | Durable Medical Equipment & Medical Supplies | 138 S Mayo Trl, Pikeville, KY 41501-1309 | 2009-04-06 |
1841419926 | Renaissance Medical LLC | Durable Medical Equipment & Medical Supplies | 1006 Leawood Dr, Ste 201, Frankfort, KY 40601-3349 | 2007-04-25 |
1508083304 | Apria Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 200 E. 9th St., Ste A., Hopkinsville, KY 42240-3449 | 2007-04-20 |
1780709790 | Fleming County Hospital | Durable Medical Equipment & Medical Supplies | 777 Elizaville Ave., Flemingsburg, KY 41041-0388 | 2007-03-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.