KENTUCKY CVS PHARMACY LLC (NPI# 1265974117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265974117 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 10950 |
| Practice Address |
1473 Kentucky Street Bowling Green KY 42101 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2707838551 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100485860 | 05 | |
| KY | 710045516 | 05 | |
| KY | MASS IMM | P300023924 | 01 |
| KY | MEDICARE PART B | 6031860078 | 01 |
| KY | NCPDP | 1835795 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10950 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532264 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 S Upper St, Lexington, KY 40508-2920 | 2019-05-08 |
| 1396293049 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3700 Bardstown Rd, Louisville, KY 40218-2209 | 2016-09-12 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1679904270 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1571 N Dixie Hwy, Elizabethtown, KY 42701-2653 | 2013-12-06 |
| 1578903142 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4894 N Main St, Eminence, KY 40019-1018 | 2013-06-27 |
| 1346680089 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 102 Village Ln, Hazard, KY 41701-9408 | 2013-06-26 |
| 1508206434 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 397 N Wallace Wilkerson Blvd, Liberty, KY 42539-3017 | 2013-06-25 |
| 1134475619 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2169 Midland Trl, Shelbyville, KY 40065-9163 | 2012-08-02 |
| 1912139866 | Kentucky Cvs Pharmacy LLC | Pharmacy | 12975 Shelbyville Rd, Louisville, KY 40243-2405 | 2009-08-11 |
| 1437232519 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1227 Us 127 S, Frankfort, KY 40601-4329 | 2006-10-23 |
| Street Address |
1473 KENTUCKY STREET |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1194271502 | Sheena N Jackson | Developmental Therapist | 303 White Dogwood Dr, Bowling Green, KY 42101 | 2016-08-27 |
| Find all providers in zip 42101 | ||||
| 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 |
|---|---|---|---|---|
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1447618830 | Trinh Pharmacy | Pharmacy | 1530 Campbell Ln, Bowling Green, KY 42104-4167 | 2016-02-01 |
| 1699859330 | Rx LLC | Pharmacy | 121 Travis St, Bowling Green, VA 22427-0796 | 2006-10-25 |
| 1245323997 | Hines Pharmacy Inc. | Pharmacy | 1340 Ky Highway 185, Bowling Green, KY 42101-9691 | 2006-10-02 |
| 1518941509 | Family Health Pharmacies Inc | Pharmacy | 8 N Court St, Bowling Green, MO 63334-1534 | 2005-12-02 |
| 1366424491 | Niemann Foods Inc | Pharmacy | 1106 S Business Highway 61, Bowling Green, MO 63334-5233 | 2005-11-15 |
| 1194222406 | Cjlm Inc | Pharmacy | 2305 Russellville Rd, Bowling Green, KY 42101-3920 | 2018-04-12 |
| 1174866297 | Falcon Health Center LLC | Pharmacy | 838 E Wooster St, Bowling Green, OH 43402-3186 | 2013-03-27 |
| 1982875514 | Hines Pharmacy At Wkoa LLC | Pharmacy | 165 Natchez Trace Ave, Ste 101, Bowling Green, KY 42103 | 2008-03-24 |
| 1407955305 | Downing Drugs Inc | Pharmacy | 4863a Scottsville Rd, Bowling Green, KY 42104-7855 | 2006-09-21 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on KENTUCKY CVS 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.