ETOWN INFUSION PHARMACY LLC (NPI# 1952809428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952809428 |
| Entity Type | Organization |
| Organization Name | ETOWN INFUSION PHARMACY LLC |
| Other Organization Name | ETOWN VITAL CARE |
| Practice Address |
9720 Park Plaza Ave Unit 106 Louisville KY 40241-2289 |
| Practice Telephone | 5023339252 |
| Mailing Telephone | 5023339252 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | MAJAZ AHMED (OWNER) |
| Authorized Official Telephone | 2705062463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Etown Vital Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205312352 | Etown Infusion Pharmacy LLC | Clinic/Center | 914 N Dixie Ave Ste 101, Elizabethtown, KY 42701-2536 | 2018-07-12 |
| 1295010833 | Etown Infusion Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 914 N Dixie Ave, Suite 101, Elizabethtown, KY 42701-2520 | 2011-10-14 |
| Street Address |
9720 PARK PLAZA AVE UNIT 106 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065841 | Precision Health Care, Inc | Clinic/Center | 1048 Ashley St Ste 101, Bowling Green, KY 42103-2449 | 2020-02-21 |
| 1962985143 | Dixie Infusion Pharmacy 2, LLC | Clinic/Center | 124 N Main St Ste 101, Smiths Grove, KY 42171-8323 | 2018-09-13 |
| 1205312352 | Etown Infusion Pharmacy LLC | Clinic/Center | 914 N Dixie Ave Ste 101, Elizabethtown, KY 42701-2536 | 2018-07-12 |
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on ETOWN INFUSION PHARMACY LLC.
| 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.