AUDUBON PHARMACY INC (NPI# 1306943147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306943147 |
| Entity Type | Organization |
| Organization Name | AUDUBON PHARMACY INC |
| Other Organization Name | AUDUBON PHARMACY |
| Practice Address |
3503 Poplar Level Rd Louisville KY 40213-1009 |
| Practice Telephone | 5023711002 |
| Practice Fax Number | 5023711005 |
| Mailing Telephone | 5023711002 |
| Mailing Fax Number | 5023711005 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-12-29 |
| Authorized Official Name | TRACI ULLOM (OWNER) |
| Authorized Official Telephone | 5023711002 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07058 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2034337 | 01 | |
| KY | 54011911 | 05 |
| Other Name | Type Code |
|---|---|
| AUDUBON PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114941721 | Audubon Pharmacy Inc | Pharmacy | 85 Audubon Ave, New York, NY 10032-2261 | 2006-07-27 |
| Street Address |
3503 POPLAR LEVEL RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436512 | Laken Decker | Community Health Worker | 3503 Poplar Level Rd, Louisville, KY 40213-1009 | 2012-04-18 |
| 1285932699 | Taylor Peyton | Community Health Worker | 3503 Poplar Level Rd, Louisville, KY 40213-1009 | 2011-03-09 |
| 1427368588 | Leslie Nussbaum | Community Health Worker | 3503 Poplar Level Rd, Louisville, KY 40213-1009 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| 1528619806 | Lifewell Rx Pharmacy | Pharmacy | 2200 Buechel Ave Ste 104, Louisville, KY 40218-2664 | 2019-09-27 |
| 1407367410 | St Matthews Specialty Pharmacy Pllc | Pharmacy | 3922b Willis Ave, Louisville, KY 40207-4911 | 2017-10-17 |
| 1043675507 | New Life Pharmacy Inc | Pharmacy | 5721 Preston Hwy, Louisville, KY 40219-1305 | 2015-12-28 |
| 1811378524 | East Louisville Interventional Pain Specialists Pllc | Pharmacy | 4205 Springhurst Blvd Ste 101, Louisville, KY 40241-6159 | 2015-06-18 |
| 1851641666 | The Tamarkin Company | Pharmacy | 108 W Main Street, Louisville, OH 44641-1226 | 2012-09-19 |
| 1801161732 | Parmiss Corp | Pharmacy | 10278 Shelbyville Rd, Louisville, KY 40223-2955 | 2012-03-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
Please comment or provide details below to improve the information on AUDUBON PHARMACY 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.