KENTUCKY CVS PHARMACY LLC (NPI# 1528080264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528080264 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16452 |
| Practice Address |
4101 Towne Center Dr Louisville KY 40241-4146 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5024122440 |
| Practice Fax Number | 5026536943 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07738 | KY | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2034317 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16452 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532264 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 S Upper St, Lexington, KY 40508-2920 | 2019-05-08 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| 1396293049 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3700 Bardstown Rd, Louisville, KY 40218-2209 | 2016-09-12 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1679904270 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1571 N Dixie Hwy, Elizabethtown, KY 42701-2653 | 2013-12-06 |
| 1578903142 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4894 N Main St, Eminence, KY 40019-1018 | 2013-06-27 |
| 1346680089 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 102 Village Ln, Hazard, KY 41701-9408 | 2013-06-26 |
| 1508206434 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 397 N Wallace Wilkerson Blvd, Liberty, KY 42539-3017 | 2013-06-25 |
| 1134475619 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2169 Midland Trl, Shelbyville, KY 40065-9163 | 2012-08-02 |
| 1912139866 | Kentucky Cvs Pharmacy LLC | Pharmacy | 12975 Shelbyville Rd, Louisville, KY 40243-2405 | 2009-08-11 |
| Street Address |
4101 TOWNE CENTER DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780135756 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4101 Towne Center Dr, Louisville, KY 40241-4146 | 2016-10-14 |
| 1295111433 | Erika Danielle Johnson | Optometrist | 4101 Towne Center Dr, Target Optical, Louisville, KY 40241-4146 | 2015-08-10 |
| 1225410517 | Dusan Mark Jeftinija | Pharmacist | 4101 Towne Center Dr, Louisville, KY 40241-4146 | 2015-06-23 |
| 1891185484 | Brittany Donnelly | Pharmacy Technician | 4101 Towne Center Dr, Louisville, KY 40241-4146 | 2015-02-03 |
| 1093124455 | Autumn Miller | Pharmacist | 4101 Towne Center Dr, Louisville, KY 40241-4146 | 2014-08-10 |
| 1366783334 | Tonique King | Pharmacist | 4101 Towne Center Dr, T-1071, Louisville, KY 40241-4146 | 2013-03-15 |
| 1447544481 | Shannon Simpson | Pharmacist | 4101 Towne Center Dr, Target Store Number T-1071, Louisville, KY 40241-4146 | 2011-06-07 |
| 1144514324 | Deborah Kelsey | Pharmacist | 4101 Towne Center Dr, Louisville, KY 40241-4146 | 2011-06-05 |
| 1992099329 | Shannon Jo Benner | Pharmacist | 4101 Towne Center Dr, T-1071, Louisville, KY 40241-4146 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1831540368 | Cordant Pharmacy Kentucky LLC | Pharmacy | 10503 Timberwood Cir Ste 202, Louisville, KY 40223-5395 | 2016-06-27 |
| 1386099661 | Costco Wholesale Corporation | Pharmacy | 3408 Bardstown Rd, Louisville, KY 40218 | 2016-04-25 |
| 1316307994 | Jac Stores Inc | Pharmacy | 326 Route 45 N, Louisville, IL 62858-2652 | 2016-02-25 |
| 1750750394 | My Rx LLC | Pharmacy | 170 Dr Arla Way Ste 105, Louisville, KY 40229-5454 | 2015-09-23 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1215331293 | Shri Siddi Vinayaka Drugs Inc | Pharmacy | 322 W Woodlawn Ave, Louisville, KY 40214-1924 | 2014-10-20 |
| 1316285661 | Cpo Psc | Pharmacy | 4402 Churchman Ave Ste 404, Louisville, KY 40215-3102 | 2013-01-22 |
| 1588931836 | Panniche Compounding, Ltd Co | Pharmacy | 5703 Preston Hwy, Louisville, KY 40219-1305 | 2011-11-30 |
| 1104027978 | Holdaway Medical Services, LLC | Pharmacy | 11305 Bluegrass Pkwy, Louisville, KY 40299-2347 | 2007-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on KENTUCKY CVS PHARMACY LLC.
| 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.