KENTUCKY CVS PHARMACY, L.L.C. (NPI# 1780788638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780788638 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY# 05866 |
| Practice Address |
13900 Shelbyville Rd Louisville KY 40245-3906 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5022531959 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-01-14 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | P06913 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1828283 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY# 05866 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871817718 | Kentucky Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2311 Lime Kiln Ln, Louisville, KY 40222-3460 | 2010-03-22 |
| 1962509455 | Kentucky Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Wshowalter Drive, Georgetown, KY 40324 | 2006-09-19 |
| 1326142274 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 101 Lacy Ln, Paris, KY 40361-1062 | 2006-09-12 |
| 1508960451 | Kentucky Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 709 E Main St, Frankfort, KY 40601-2407 | 2006-09-12 |
| 1053415901 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 3001 Lone Oak Rd, Paducah, KY 42003-5721 | 2006-09-12 |
| 1962506816 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 1157 Ridgeway Ave, Falmouth, KY 41040-1323 | 2006-09-12 |
| 1871697722 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 6425 W Highway 146, Crestwood, KY 40014-9575 | 2006-09-12 |
| 1144324096 | Kentucky Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3229 Poplar Level Rd, Louisville, KY 40213-1030 | 2006-09-12 |
| 1851494405 | Kentucky Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8559 Us 42, Florence, KY 41042-9652 | 2006-09-07 |
| 1285737924 | Kentucky Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3311 Hwy 54, Owensboro, KY 42303-2397 | 2006-09-07 |
| Street Address |
13900 SHELBYVILLE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40245-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508135088 | Sherry B Decuir | Pharmacist | 13900 Shelbyville Rd, Louisville, KY 40245-3906 | 2011-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
| 1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| Find all providers in zip 40245 | ||||
| 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 | 40245 |
Please comment or provide details below to improve the information on KENTUCKY CVS PHARMACY, L.L.C..
| 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.