BLUEGRASS LTC PHARMACY
NPI 1225106057
Pharmacy - Long Term Care Pharmacy in Madisonville, KY

Active since December 01, 2006CLIA 18D2062191 · Waiver
1128 N MAIN ST STE 3, MADISONVILLE, KY 42431(270) 821-7335(270) 821-7382 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Bluegrass Ltc Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEGRASS LTC PHARMACY (NPI 1225106057) is a healthcare organization registered as a long term care pharmacy in Madisonville, Kentucky and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Gary Russell, President Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1225106057
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBLUEGRASS PHARMACIES INC
Location Address1128 N MAIN ST STE 3Madisonville, KY 42431-1265
Mailing Address1128 N Main St, Suite 3Madisonville, KY 42431-1265 · (270) 821-7335 · Fax (270) 821-7382
Fax(270) 821-7382
Organization SubpartNo
Authorized OfficialGary RussellPresident Pharmacist · (270) 825-2775
Enumeration DateDecember 1, 2006
Last NPPES UpdateNovember 18, 2015
NPI 1225106057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in KY · P07150
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
1128 N MAIN ST STE 3, Madisonville, KY 42431

Other Names 1

Doing Business AsBluegrass Ltc Pharmacy

Other Identifiers 1

Other2034631Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2062191

Bluegrass Pharmacy · Madisonville, KY
Active · expires Jul 10, 2027
CLIA Number18D2062191
Laboratory TypePharmacy
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorGary S. Russell
Laboratory Phone(270) 825-2775
Laboratory LocationBluegrass Pharmacy1128 North Main Street, Suite 1, Madisonville, KY 42431
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 38

Medicare supplier enrollment and the product categories Bluegrass IV Care In carries, from the Medicare DMEPOS supplier directory.

Bluegrass IV Care In

DMEPOS supplier · Madisonville, KYOperated by Bluegrass I.V. Care, Inc.

Does not accept Medicare assignment

Bluegrass IV Care In has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20645327
Medicare Participant SinceJanuary 1, 1998
Supplier Location1128 N Main St Ste 2Madisonville, KY 42431
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other Orthotic Personnel Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluegrass Pharmacies Inc's NPI number?

The NPI number for Bluegrass Pharmacies Inc is 1225106057. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Bluegrass Ltc Pharmacy.

Where is Bluegrass Pharmacies Inc located?

Bluegrass Pharmacies Inc is located at 1128 N Main St Ste 3, Madisonville, KY 42431. The listed phone number is (270) 821-7335.

What is Bluegrass Pharmacies Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Bluegrass Pharmacies Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Bluegrass IV Care In does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Bluegrass Pharmacies Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2062191) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bluegrass Pharmacies Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list Bluegrass Pharmacies Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bluegrass Pharmacies Inc was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.