PANNICHE COMPOUNDING, LTD CO (NPI# 1588931836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588931836 |
| Entity Type | Organization |
| Organization Name | PANNICHE COMPOUNDING, LTD CO |
| Other Organization Name | PHARM WORX |
| Practice Address |
5703 Preston Hwy Louisville KY 40219-1305 |
| Mailing Address |
Po Box 701693 Louisville KY 40270-1693 |
| Practice Telephone | 5024420696 |
| Practice Fax Number | 5024420696 |
| Mailing Telephone | 5024420696 |
| Mailing Fax Number | 5024420696 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | DR. CHASE B HIGGINSON (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 2708232986 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | P07477 | KY | Suppliers |
| Other Name | Type Code |
|---|---|
| Pharm Worx | Doing Business As Name - Organization |
| Street Address |
5703 PRESTON HWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285984484 | Preston Medical Center, LLC | Clinic/Center | 5703 Preston Hwy, Suite B, Louisville, KY 40219-1305 | 2012-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| 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 |
| 1104027978 | Holdaway Medical Services, LLC | Pharmacy | 11305 Bluegrass Pkwy, Louisville, KY 40299-2347 | 2007-05-30 |
| 1306981931 | Kupper & Sons LLC | Pharmacy | 4934 Manslick Rd, Louisville, KY 40216-4026 | 2007-02-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on PANNICHE COMPOUNDING, LTD CO.
| 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.