Grider Drug LLC
Durable Medical Equipment & Medical Supplies in Russell Springs, KY. Organization (NPI-2).
NPI number1013979640
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1013979640
- Entity type
- Organization (NPI-2)
- Legal business name
- Grider Drug LLC
- Organization subpart
- No
- Enumeration date
- Apr 6, 2006
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - MEDICAL SUPPLY COMPANY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | P06731 | KY | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | P06731 | KY |
Practice location
2431b Lakeway DrRussell Springs, KY 42642-4510
Phone 270-866-7541
Mailing address
2431 Lakeway Dr Ste BRussell Springs, KY 42642-4648
Phone 270-866-7541 · Fax 270-866-7542
Authorized official
Greg Grider
Manager
2708667541
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.