ETOWN INFUSION PHARMACY LLC (NPI# 1205312352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205312352 |
| Entity Type | Organization |
| Organization Name | ETOWN INFUSION PHARMACY LLC |
| Other Organization Name | ETOWN VITAL CARE - AIC |
| Practice Address |
914 N Dixie Ave Ste 101 Elizabethtown KY 42701-2536 |
| Practice Telephone | 2705062463 |
| Mailing Telephone | 2705062463 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | MAJAZ AHMED (OWNER/PHARMACISTS) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PART B | K045392 | 01 |
| Other Name | Type Code |
|---|---|
| Etown Vital Care - AIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952809428 | Etown Infusion Pharmacy LLC | Clinic/Center | 9720 Park Plaza Ave Unit 106, Louisville, KY 40241-2289 | 2018-01-30 |
| 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 |
914 N DIXIE AVE STE 101 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568517886 | Joseph B Oropilla, M.d., Psc | Specialist | 914 N Dixie Ave Ste 101, Elizabethtown, KY 42701-2536 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
| 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 |
| 1952809428 | Etown Infusion Pharmacy LLC | Clinic/Center | 9720 Park Plaza Ave Unit 106, Louisville, KY 40241-2289 | 2018-01-30 |
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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.