Provider Demographics
NPI:1578643144
Name:BAILEY & RAMEY ENTERPRISES
Entity Type:Organization
Organization Name:BAILEY & RAMEY ENTERPRISES
Other - Org Name:HURLEY COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:276-566-4492
Mailing Address - Street 1:PO BOX 477
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:VA
Mailing Address - Zip Code:24620
Mailing Address - Country:US
Mailing Address - Phone:276-566-4488
Mailing Address - Fax:276-566-8778
Practice Address - Street 1:RR 650 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HURLEY
Practice Address - State:VA
Practice Address - Zip Code:24620
Practice Address - Country:US
Practice Address - Phone:276-566-4488
Practice Address - Fax:276-566-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201001831332B00000X, 333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0141310000Medicaid
KY54019443Medicaid
VA008517207Medicaid
5687020001Medicare ID - Type Unspecified
KY54019443Medicaid