KENTUCKY CVS PHARMACY, L.L.C. (NPI# 1013010768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013010768 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 06384 |
| Practice Address |
105 Us Highway 41a S Providence KY 42450 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2706677031 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-06-18 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P06061 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1817052 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 06384 | 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 |
| 1780788638 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 13900 Shelbyville Rd, Louisville, KY 40245-3906 | 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 |
| Street Address |
105 US HIGHWAY 41A S |
| City | PROVIDENCE |
| State | KY |
| Zip Code | 42450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255476594 | Jon Gregory Dunn | Dentist | 110 Barrett St, Providence, KY 42450 | 2007-02-21 |
| 1871609842 | Wayne C Cole | Family Medicine | 121 East Main St, Providence, KY 42450 | 2006-08-22 |
| 1194020230 | Regional Health Care Affiliates, Inc | Family Medicine | 9086 State Route 132 West, Clay, KY 42450 | 2011-01-21 |
| 1245535848 | Winona F Lambdin | Nurse Practitioner | 215 E Main St, Providence, KY 42450 | 2011-01-13 |
| 1376747519 | Providence Ind. Schools | Local Education Agency (LEA) | 302 W Main St, Providence, KY 42450-1140 | 2007-06-12 |
| 1336650662 | Chelsey Aikins | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2017-10-13 |
| 1477087963 | Ellen Parrish | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2017-04-12 |
| 1427598952 | Allison Marie Choate | Dietitian, Registered | 215 E Main St, Providence, KY 42450-1261 | 2017-03-02 |
| 1407393481 | Ronnah Ann Alexander | Pharmacist | 215 E Main St, Providence, KY 42450-1261 | 2017-01-27 |
| 1740727239 | Joseph Lowery | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2017-01-23 |
| Find all providers in zip 42450 | ||||
| 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 |
|---|---|---|---|---|
| 1316411267 | Anthony's Pharmacy LLC | Pharmacy | 219 Manton Ave, Providence, RI 02909-3329 | 2019-01-14 |
| 1811929771 | Stop and Shop Supermarket Co LLC | Pharmacy | 850 Manton Ave, Providence, RI 02909-5655 | 2006-07-07 |
| 1568418564 | Shaws Supermarkets Inc | Pharmacy | 325 Valley St, Providence, RI 02908-5612 | 2006-05-25 |
| 1386270601 | Aj Pharmacy LLC | Pharmacy | 1017 Smith St, Providence, RI 02908-2747 | 2020-03-18 |
| 1124520994 | Asthenis, LLC | Pharmacy | 206 Cranston St, Providence, RI 02907 | 2018-03-07 |
| 1609306919 | Ccr LLC | Pharmacy | 1017 Smith St, Providence, RI 02908-2747 | 2017-06-19 |
| 1295148625 | Lifespan Pharmacy, LLC | Pharmacy | 164 Summit Ave, Providence, RI 02906-2853 | 2014-06-03 |
| 1013223437 | Baez & Associates Corp | Pharmacy | 500 Broad St Ste 6, Providence, RI 02907-1367 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 42450 |
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.