ST MATTHEWS SPECIALTY PHARMACY PLLC (NPI# 1407367410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407367410 |
| Entity Type | Organization |
| Organization Name | ST MATTHEWS SPECIALTY PHARMACY PLLC |
| Other Organization Name | ST. MATTHEWS SPECIALTY PHARMACY |
| Practice Address |
3922b Willis Ave Louisville KY 40207-4911 |
| Mailing Address |
3922 Willis Ave B Louisville KY 40207 |
| Practice Telephone | 8446904462 |
| Practice Fax Number | 8445244673 |
| Mailing Telephone | 8446904462 |
| Mailing Fax Number | 8445244673 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | CLAY RHODES (OWNER) |
| Authorized Official Telephone | 8446904462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
P07869 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175327 | 01 |
| Other Name | Type Code |
|---|---|
| St. Matthews Specialty Pharmacy | Doing Business As Name - Organization |
| Street Address |
3922B WILLIS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695232 | Austin Lee Rich | Pharmacist | 3922b Willis Ave, Louisville, KY 40207-4911 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 |
|---|---|---|---|---|
| 1215356837 | Jewish Hospital & St. Mary's Healthcare, Inc. | Pharmacy | 5111 Commerce Crossings Dr Ste 120, Louisville, KY 40229-2191 | 2014-04-10 |
| 1003851981 | Jewish Hospital & St Marys Healthcare Inc | Pharmacy | 5111 Commerce Crossings Dr Ste 130, Louisville, KY 40229-3128 | 2006-06-17 |
| 1629234703 | Norton Pharmacies, Pllc | Pharmacy | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2008-07-29 |
| 1306047485 | Efillrx, LLC | Pharmacy | 100 E Liberty St, Suite 700, Louisville, KY 40202-1434 | 2007-05-29 |
| 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 |
| 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 |
| 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 |
| 1285187369 | Houchens Express Pharmacy, LLC | Pharmacy | 843 Fairview Ave, Suite 5b, Bowling Green, KY 42101-4914 | 2016-07-26 |
| 1154564821 | P C P Specialty LLC | Pharmacy | 104 Lawson Dr, Suite 101, Georgetown, KY 40324-8998 | 2009-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on ST MATTHEWS SPECIALTY PHARMACY PLLC.
| 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.