Provider Demographics
NPI:1346211869
Name:VALUE-MED INC.
Entity Type:Organization
Organization Name:VALUE-MED INC.
Other - Org Name:VALUE-MED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:REFFETT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-789-5995
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-0305
Mailing Address - Country:US
Mailing Address - Phone:606-789-5995
Mailing Address - Fax:606-788-9275
Practice Address - Street 1:209B N MAYO TRL
Practice Address - Street 2:BOX 305
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1803
Practice Address - Country:US
Practice Address - Phone:606-789-5995
Practice Address - Fax:606-788-9275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9000627100332B00000X
KY54002928332B00000X
KYP06718332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54002928Medicaid
KY1827142OtherNABP
KY1827142OtherNABP
KY54002928Medicaid