REISZ PHARMACEUTICALS VITAL CARE, INC. (NPI# 1780797662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780797662 |
| 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 | 2006-08-16 |
| 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 | 333600000X | Pharmacy | P02023 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS | 000000069966 | 01 |
| UMWA | 1445572 | 01 | |
| KY | 90140302 | 05 | |
| KY | 54029384 | 05 | |
| CHAMPUS/TRICARE | 61128006 | 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 |
| 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 |
| 1164432126 | Reisz Pharmaceuticals Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-09 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659435618 | Ck Lewis Enterprises Inc | Pharmacy | 3000 Alvey Park Dr W, Owensboro, KY 42303-4099 | 2006-12-21 |
| 1467531137 | Jeraben Inc | Pharmacy | 1000 E 4th St, Owensboro, KY 42303-3323 | 2006-11-03 |
| 1083648828 | Kroger Limited Partnership I | Pharmacy | 2308 Highway 144, Owensboro, KY 42303-0175 | 2006-07-10 |
| 1437193281 | Wiggins Drugs Limited | Pharmacy | 1156 Carter Rd, Owensboro, KY 42301-2644 | 2006-06-15 |
| 1144213406 | Danhauer Drug Co, Inc | Pharmacy | 330 Frederica St, Owensboro, KY 42301-3005 | 2005-08-23 |
| 1134348444 | Lincoln Pharmacy Inc | Pharmacy | 2816 Veach Rd, Lincoln Professional Ctr, Owensboro, KY 42303-6295 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
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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.