MEDVANTX INC (NPI# 1912314642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912314642 |
| Entity Type | Organization |
| Organization Name | MEDVANTX INC |
| Other Organization Name | MEDVANTX SPECIALTY PHARMACY |
| Practice Address |
1860 Outer Loop Ste 348 Louisville KY 40219-3429 |
| Practice Telephone | 8448778444 |
| Practice Fax Number | 8663452757 |
| Mailing Telephone | 8448778444 |
| Mailing Fax Number | 8663452757 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | SCOTT PETERSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8589641496 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
P07637 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146826 | 01 |
| Other Name | Type Code |
|---|---|
| MedVantx Specialty Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992764377 | Medvantx Inc | Pharmacy | 5810 Nancy Ridge Dr, Suite 100, San Diego, CA 92121-2834 | 2006-03-22 |
| 1235371535 | Medvantx Inc | Pharmacy | 2503 E 54th St N, Ste M, Sioux Falls, SD 57104-5563 | 2009-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MedVantx Inc. | 5151 Shoreham Place, Suite 250, San Diego, California 92122 |
| Street Address |
1860 OUTER LOOP STE 348 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881243269 | Micah Benford | Pharmacist | 1860 Outer Loop Ste 348, Louisville, KY 40219-3429 | 2019-09-09 |
| 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 | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215356837 | Jewish Hospital & St. Mary's Healthcare, Inc. | Pharmacy | 5111 Commerce Crossings Dr Ste 120, Louisville, KY 40229-2191 | 2014-04-10 |
| 1003851981 | Jewish Hospital & St Marys Healthcare Inc | Pharmacy | 5111 Commerce Crossings Dr Ste 130, Louisville, KY 40229-3128 | 2006-06-17 |
| 1629234703 | Norton Pharmacies, Pllc | Pharmacy | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2008-07-29 |
| 1306047485 | Efillrx, LLC | Pharmacy | 100 E Liberty St, Suite 700, Louisville, KY 40202-1434 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190833 | University of Kentucky | Pharmacy | 531 Wellington Way, Lexington, KY 40503-1482 | 2015-12-28 |
| 1710370580 | Ely Special Pharmacy Inc. | Pharmacy | 4863c Scottsville Rd, Bowling Green, KY 42104-7909 | 2015-03-18 |
| 1093032153 | Central Pharmacy | Pharmacy | 805 Bel Vista Dr, Springfield, KY 40069-2500 | 2010-04-29 |
| 1730325127 | Medicine Arts Pharmacy LLC | Pharmacy | 818 Us 31w Byp, Bowling Green, KY 42101-2314 | 2009-01-06 |
| 1578770566 | Dean Medical, Inc. | Pharmacy | 1015a 3rd St, Albany, KY 42602-1639 | 2007-05-17 |
| 1265461040 | Corner Drug Winchester Inc | Pharmacy | 4 N Highland St, Suite B, Winchester, KY 40391-2024 | 2006-07-02 |
| 1497797286 | T & T Drug Stores, Inc. | Pharmacy | 1331 Clay St, Henderson, KY 42420 | 2006-06-13 |
| 1619598901 | Pikeville Medical Center Inc. | Pharmacy | 911 Bypass Road, Building E Suite 2, Pikeville, KY 41501 | 2020-04-28 |
| 1285187369 | Houchens Express Pharmacy, LLC | Pharmacy | 843 Fairview Ave, Suite 5b, Bowling Green, KY 42101-4914 | 2016-07-26 |
| 1154564821 | P C P Specialty LLC | Pharmacy | 104 Lawson Dr, Suite 101, Georgetown, KY 40324-8998 | 2009-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on MEDVANTX INC.
| 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.