ST. ELIZABETH MEDICAL CENTER, INC. (NPI# 1366084337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366084337 |
| Entity Type | Organization |
| Organization Name | ST. ELIZABETH MEDICAL CENTER, INC. |
| Practice Address |
850 Thomas More Parkway Edgewood KY 41017 |
| Mailing Address |
20 Medical Village Drive Edgewood KY 41017 |
| Practice Telephone | 8593014525 |
| Mailing Telephone | 8593019025 |
| Mailing Fax Number | 8593016791 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | GARY BLANK (EVP/COO) |
| Authorized Official Telephone | 8593012370 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. ELIZABETH MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366561532 | St. Elizabeth Medical Center, Inc. | Nursing Care | 401 E 20th St, Covington, KY 41014-1583 | 2007-03-28 |
| 1740309913 | St. Elizabeth Medical Center, Inc. | Nursing Care | 401 E 20th St, Covington, KY 41014-1583 | 2007-03-28 |
| Street Address |
850 THOMAS MORE PARKWAY |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| 1568982866 | Christopher Robertson Nyland | Student in an Organized Health Care Education/Training Program | 413 South Loop Rd, Edgewood, KY 41017 | 2017-06-27 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190833 | University of Kentucky | Pharmacy | 531 Wellington Way, Lexington, KY 40503-1482 | 2015-12-28 |
| 1710370580 | Ely Special Pharmacy Inc. | Pharmacy | 4863c Scottsville Rd, Bowling Green, KY 42104-7909 | 2015-03-18 |
| 1215356837 | Jewish Hospital & St. Mary's Healthcare, Inc. | Pharmacy | 5111 Commerce Crossings Dr Ste 120, Louisville, KY 40229-2191 | 2014-04-10 |
| 1093032153 | Central Pharmacy | Pharmacy | 805 Bel Vista Dr, Springfield, KY 40069-2500 | 2010-04-29 |
| 1730325127 | Medicine Arts Pharmacy LLC | Pharmacy | 818 Us 31w Byp, Bowling Green, KY 42101-2314 | 2009-01-06 |
| 1578770566 | Dean Medical, Inc. | Pharmacy | 1015a 3rd St, Albany, KY 42602-1639 | 2007-05-17 |
| 1265461040 | Corner Drug Winchester Inc | Pharmacy | 4 N Highland St, Suite B, Winchester, KY 40391-2024 | 2006-07-02 |
| 1003851981 | Jewish Hospital & St Marys Healthcare Inc | Pharmacy | 5111 Commerce Crossings Dr Ste 130, Louisville, KY 40229-3128 | 2006-06-17 |
| 1497797286 | T & T Drug Stores, Inc. | Pharmacy | 1331 Clay St, Henderson, KY 42420 | 2006-06-13 |
| 1619598901 | Pikeville Medical Center Inc. | Pharmacy | 911 Bypass Road, Building E Suite 2, Pikeville, KY 41501 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.