Provider Demographics
NPI:1558593079
Name:VALUE-MED PHARMACY INC
Entity Type:Organization
Organization Name:VALUE-MED PHARMACY INC
Other - Org Name:VALUE MED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:REFFETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-886-3030
Mailing Address - Street 1:334 N LAKE DR
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-1229
Mailing Address - Country:US
Mailing Address - Phone:606-886-3030
Mailing Address - Fax:606-886-3030
Practice Address - Street 1:334 N LAKE DR
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1229
Practice Address - Country:US
Practice Address - Phone:606-886-3030
Practice Address - Fax:606-886-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
KYP07358333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1831519OtherNCPDP PROVIDER IDENTIFICATION NUMBER
FV1685063OtherDEA
1831519OtherNCPDP PROVIDER IDENTIFICATION NUMBER