BLUEGRASS LLC
NPI 1891858411
Pharmacy - Community/Retail Pharmacy in Holland, PA

Active since December 18, 2006
202 HOLLAND RD STE 230, HOLLAND, PA 18966(215) 676-7650(215) 676-8086 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Oct 28, 2016 (2 updates tracked since 2016).

About Bluegrass Llc NPPES

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

BLUEGRASS LLC (NPI 1891858411), doing business as Bluegrass Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Holland, Pennsylvania and active in the NPI registry since December 2006. The organization lists Tanya Minaeva, Owner, as its authorized official.

NPPES Registry Identity

NPI1891858411
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBLUEGRASS LLC
Location Address202 HOLLAND RD STE 230Holland, PA 18966-1703
Mailing Address202 Holland Rd Ste 230Holland, PA 18966-1703 · (215) 676-7650 · Fax (215) 676-7630
Fax(215) 676-8086
Organization SubpartNo
Authorized OfficialTanya MinaevaOwner · (215) 676-7650
Enumeration DateDecember 18, 2006
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1891858411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in PA · PP481659
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
202 HOLLAND RD STE 230, Holland, PA 18966

Other Names 1

Doing Business AsBluegrass Pharmacy

Other Identifiers 2

Medicaid10186675001PA
Other2081747Pk

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
202 HOLLAND RD STE 230
SOUTHAMPTON, PA 18966
Massage Therapist
202 HOLLAND RD STE 230
SOUTHAMPTON, PA 18966

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 LLC's NPI number?

The NPI number for Bluegrass LLC is 1891858411. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Bluegrass Pharmacy.

Where is Bluegrass LLC located?

Bluegrass LLC is located at 202 Holland Rd Ste 230, Holland, PA 18966. The listed phone number is (215) 676-7650.

What is Bluegrass LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Bluegrass LLC 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 49 other insurers list Bluegrass LLC 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 LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.