ST. MATTHEWS PHARMACY PLLC (NPI# 1760815823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760815823 |
| Entity Type | Organization |
| Organization Name | ST. MATTHEWS PHARMACY PLLC |
| Other Organization Name | ST. MATTHEWS COMMUNITY PHARMACY |
| Practice Address |
3922 Willis Ave Louisville KY 40207-4911 |
| Practice Telephone | 5026147325 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | CHRIS HARLOW (DIRECTOR) |
| Authorized Official Telephone | 5026904462 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07589 | KY | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
P07589 | KY | Suppliers |
| Y | 333600000X | Pharmacy | P07589 | KY | Suppliers |
| Other Name | Type Code |
|---|---|
| St. Matthews Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699319814 | St. Matthews Pharmacy Pllc | Pharmacy | 3922 Willis Ave, Louisville, KY 40207-4911 | 2019-10-31 |
| Street Address |
3922 WILLIS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194046573 | Christopher P Harlow | Pharmacist | 3922 Willis Ave, Louisville, KY 40207 | 2010-06-19 |
| 1699319814 | St. Matthews Pharmacy Pllc | Pharmacy | 3922 Willis Ave, Louisville, KY 40207-4911 | 2019-10-31 |
| 1609429000 | Robert Conzelman | Pharmacist | 3922 Willis Ave, Louisville, KY 40207-4911 | 2019-07-24 |
| 1043863905 | Kara Lynn Sermersheim | Pharmacist | 3922 Willis Ave, Louisville, KY 40207-4911 | 2019-07-19 |
| 1477036184 | Sarah P Banday | Pharmacist | 3922 Willis Ave, Louisville, KY 40207-4911 | 2018-09-09 |
| 1659850188 | Chelsey Llayton | Pharmacist | 3922 Willis Ave, Louisville, KY 40207-4911 | 2018-08-06 |
| 1053837062 | Talya Burnett | Pharmacist | 3922 Willis Ave, Louisville, KY 40207-4911 | 2017-08-21 |
| 1376076109 | Emily Blaiklock | Pharmacist | 3922 Willis Ave, Louisville, KY 40207-4911 | 2017-04-08 |
| 1053767863 | Louisville Cumberland LLC | Pharmacy | 3922 Willis Ave, Louisville, KY 40207-4911 | 2016-05-11 |
| 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 | 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 | 40207 |
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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.