REISZ PHARMACEUTICALS VITAL CARE, INC. (NPI# 1972616308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972616308 |
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 | 2006-08-17 |
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 | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
P02023 | KY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | BCBS | 000000069966 | 01 |
UMWA | 1445572 | 01 | |
TN | BCBS, NON-PAR | 4055675 | 01 |
KY | 54029384 | 05 | |
CHAMPUS/TRICARE | 61128006 | 01 | |
KY | 90140302 | 05 |
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 |
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 |
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 |
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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 | 3336S0011X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Specialty Pharmacy |
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
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: new] |
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1295190833 | University of Kentucky | Pharmacy | 531 Wellington Way, Lexington, KY 40503-1482 | 2015-12-28 |
1710370580 | Ely Special Pharmacy Inc. | Pharmacy | 4863c Scottsville Rd, Bowling Green, KY 42104-7909 | 2015-03-18 |
1215356837 | Jewish Hospital & St. Mary's Healthcare, Inc. | Pharmacy | 5111 Commerce Crossings Dr Ste 120, Louisville, KY 40229-2191 | 2014-04-10 |
1093032153 | Central Pharmacy | Pharmacy | 805 Bel Vista Dr, Springfield, KY 40069-2500 | 2010-04-29 |
1730325127 | Medicine Arts Pharmacy LLC | Pharmacy | 818 Us 31w Byp, Bowling Green, KY 42101-2314 | 2009-01-06 |
1578770566 | Dean Medical, Inc. | Pharmacy | 1015a 3rd St, Albany, KY 42602-1639 | 2007-05-17 |
1265461040 | Corner Drug Winchester Inc | Pharmacy | 4 N Highland St, Suite B, Winchester, KY 40391-2024 | 2006-07-02 |
1003851981 | Jewish Hospital & St Marys Healthcare Inc | Pharmacy | 5111 Commerce Crossings Dr Ste 130, Louisville, KY 40229-3128 | 2006-06-17 |
1497797286 | T & T Drug Stores, Inc. | Pharmacy | 1331 Clay St, Henderson, KY 42420 | 2006-06-13 |
1619598901 | Pikeville Medical Center Inc. | Pharmacy | 911 Bypass Road, Building E Suite 2, Pikeville, KY 41501 | 2020-04-28 |
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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.