EDMONSON DRUG CO.
NPI 1225166440
Durable Medical Equipment & Medical Supplies in Brownsville, KY

NPI Status: Active since March 01, 2007

Contact Information

100 PARK PLACE, STE 8
BROWNSVILLE, KY
ZIP 42210
Phone: (270) 597-2386
Fax: (844) 682-8099

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 18D0950643
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 09-07-2026

About EDMONSON DRUG CO.

This page provides the complete NPI Profile along with additional information for Edmonson Drug Co., a provider established in Brownsville, Kentucky operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1225166440 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X with license number P07681 (KY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Edmonson Drug Co.. The authorized official of this NPI record is Dr. Trevor Ray Pharmd (Secretary)

NPI
1225166440
Provider Legal Name
EDMONSON DRUG COMPANY INC
Other Organization Name
EDMONSON DRUG CO.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 PARK PLACE, STE 8 BROWNSVILLE, KY 42210
Location Phone
(270) 597-2386
Location Fax
(844) 682-8099
Mailing Address
100 PARK PLACE , STE 8 PO BOX 58 BROWNSVILLE, KY 42210
Mailing Phone
(270) 597-2386
Mailing Fax
(844) 682-8099
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-01-2007
Last Update Date
12-07-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
P07681
License State
KY
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TREVOR RAY PHARMD

Authorized Official Title
SECRETARY
Authorized Official Phone
(270) 597-2386

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9002031400MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0950643
Facility Type
Pharmacy
Certificate Effective Date
September 08, 2024
Certificate Expiration Date
September 07, 2026
Laboratory Director
MELVIN R. CROLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Edmonson Drug Co. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225166440, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 2 + 6 + 1 + 2 + 4 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1225166440.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
100 PARK PLACE, STE 8
BROWNSVILLE, KY 42210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225166440, enumerated as an "organization" on March 01, 2007.

The provider is located at 100 PARK PLACE, STE 8 BROWNSVILLE, KY 42210 and the phone number is (270) 597-2386.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.