KENTUCKY CVS PHARMACY LLC (NPI# 1578903142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578903142 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 10205 |
| Practice Address |
4894 N Main St Eminence KY 40019-1018 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 5028455027 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2014-04-14 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100277540 DME | 05 | |
| KY | NCPDP | 1833765 | 01 |
| KY | 7100253810 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 10205 | 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 |
| 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 |
| 1437232519 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1227 Us 127 S, Frankfort, KY 40601-4329 | 2006-10-23 |
| Street Address |
4894 N MAIN ST |
| City | EMINENCE |
| State | KY |
| Zip Code | 40019-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154693141 | Tessa D. Marie Puckett | Physical Therapist | 151 E Broadway St Ste B, Eminence, KY 40019 | 2012-02-06 |
| 1851434765 | Tim J Lee | Chiropractor | 4667 North Main St, Eminence, KY 40019 | 2007-02-14 |
| 1679539449 | Henry County County Treasurer | Ambulance | 716 S Property Rd, Eminence, KY 40019 | 2006-04-21 |
| 1710976352 | Kenneth A. Gardner | Family Medicine | 150 Fairview Court, Eminence, KY 40019 | 2005-10-17 |
| 1831503358 | Erica Ryan Sparks | Dentist | 105 Eminence Ter, Eminence, KY 40019 | 2014-06-12 |
| 1952722449 | Henry Pharmacist Group, LLC | Durable Medical Equipment & Medical Supplies | 5551 S Main St, Eminence, KY 40019 | 2013-12-30 |
| 1912973116 | Robert D Hazard | Physician Assistant | 150 Fairview Court, Eminence, KY 40019 | 2006-02-27 |
| 1568503704 | Cupp Chiropractic Center, Inc | Chiropractor | 4824 N Main St, Eminence, KY 40019-1018 | 2007-02-09 |
| 1497896294 | Bruce Frederick Cupp | Chiropractor | 4824 N Main St, Eminence, KY 40019-1018 | 2007-02-12 |
| 1568696847 | Lee Family Chiropractic, Pllc | Chiropractor | 4667 N Main St, Eminence, KY 40019-1019 | 2009-05-14 |
| Find all providers in zip 40019 | ||||
| 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 |
|---|---|---|---|---|
| 1891721205 | Cooks Pharmacy Inc | Pharmacy | 42 S Penn Ave, Eminence, KY 40019-1036 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| 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.