LBJ ENTERPRISES, INC (NPI# 1457664914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457664914 |
| Entity Type | Organization |
| Organization Name | LBJ ENTERPRISES, INC |
| Practice Address |
210 Jacks Shopping Ctr Scottsville KY 42164-1619 |
| Practice Telephone | 2702396700 |
| Practice Fax Number | 2702396701 |
| Mailing Telephone | 2702396700 |
| Mailing Fax Number | 2702396701 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |
| Authorized Official Name | LAURA SPENCER (PHARMACIST/OWNER) |
| Authorized Official Telephone | 2702396700 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07398 | KY | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
P07398 | KY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002334 | Lbj Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 1214 Ashley Cir, Bowling Green, KY 42104-3338 | 2005-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | LBJ ENTERPRISES, INC. | , , |
| Massachusetts Corporation | LBJ ENTERPRISES, INC. | 86 HELEN DRIVE , HANSON, MA 02341 |
| Street Address |
210 JACKS SHOPPING CTR |
| City | SCOTTSVILLE |
| State | KY |
| Zip Code | 42164-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911526 | Lbj Enterprises, Inc. | Pharmacy | 210 Jacks Shopping Ctr, Scottsville, KY 42164-1619 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| 1457697146 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 625 Kentucky 980, Scottsville, KY 42164 | 2012-12-27 |
| 1649336348 | Carpenter Dent Drugs Inc | Durable Medical Equipment & Medical Supplies | 1088 Veterans Memorial, Scottsville, KY 42164 | 2006-12-28 |
| 1548334105 | Ann Marie Davis | Dentist | 306 B North Court Street, Scottsville, KY 42164 | 2006-11-17 |
| 1194897959 | Angel Faye Duncan | Developmental Therapist | 147 Homestead Court, Scottsville, KY 42164 | 2006-11-15 |
| 1619517893 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 1545 Bowling Green Rd Rm 803, Bowling Green, KY 42164 | 2020-01-15 |
| 1760043129 | Paige Jordan Flora | Rehabilitation Counselor | 512 Bowling Green Rd, Scottsville, KY 42164 | 2019-06-26 |
| 1427292531 | Hilltop Family Dental Care, Psc | Dentist | 1046 Veterans Memorial Highway, Scottsville, KY 42164 | 2009-04-21 |
| 1700989217 | Bowling Green Warren County Community Hospital Corporation | General Acute Care Hospital | 456 Burnley Rd, Scottsville, KY 42164 | 2006-09-07 |
| 1063969582 | Heather Shepherd | Social Worker | 512 Bowling Green Rd, Scottsville, KY 42164-0512 | 2016-09-01 |
| Find all providers in zip 42164 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911526 | Lbj Enterprises, Inc. | Pharmacy | 210 Jacks Shopping Ctr, Scottsville, KY 42164-1619 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376188516 | Danville Compounding Center | Pharmacy | 900 Hustonville Rd Ste 2, Danville, KY 40422-2137 | 2019-11-12 |
| 1336690122 | Grassroots Pharmacy Pllc | Pharmacy | 2304 Sir Barton Way Ste 195, Lexington, KY 40509-2284 | 2016-10-17 |
| 1235591165 | Tailor Made Compounding | Pharmacy | 200 Moore Dr, Nicholasville, KY 40356-8512 | 2016-03-21 |
| 1447663588 | The Apothecary P.s.c | Pharmacy | 116 Meridian Way Ste 2, Richmond, KY 40475-2876 | 2014-06-06 |
| 1013328368 | Dixie Pharmacy LLC | Pharmacy | 8442 Dixie Hwy Ste 100, Louisville, KY 40258-1140 | 2014-05-08 |
| 1609208396 | Cpharma Inc | Pharmacy | 965 Highway 127 N, Owenton, KY 40359-9302 | 2013-08-05 |
| 1134463649 | Rood and Riddle Veterinary Pharmacy, LLC | Pharmacy | 2150 Georgetown Rd, Building 25, Lexington, KY 40511-9072 | 2012-11-21 |
| 1790039956 | Radcliff Pharmacy LLC | Pharmacy | 800 W Lincoln Trail Blvd Ste 100, Radcliff, KY 40160-2671 | 2012-11-08 |
| 1528315918 | Ely Drugs of Bg Inc | Pharmacy | 4863 Scottsville Rd, Bowling Green, KY 42104-7909 | 2012-08-06 |
| 1154681286 | Transdermal Health Solutions LLC | Pharmacy | 2700 Stanley Gault Pkwy Ste 103, Louisville, KY 40223-5133 | 2012-05-23 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSVILLE |
| Zip Code | 42164 |
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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.