Provider Demographics
NPI:1841833977
Name:SAV RITE PHARMACY RICHMOND LLC
Entity type:Organization
Organization Name:SAV RITE PHARMACY RICHMOND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:SCHUYLER
Authorized Official - Last Name:WINDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:859-353-6652
Mailing Address - Street 1:2002 MERCHANT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8167
Mailing Address - Country:US
Mailing Address - Phone:859-353-6652
Mailing Address - Fax:859-575-4390
Practice Address - Street 1:2002 MERCHANT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8167
Practice Address - Country:US
Practice Address - Phone:859-353-6652
Practice Address - Fax:606-526-1883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100685840Medicaid
KY7100640400Medicaid