CPO PSC (NPI# 1316285661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316285661 |
| Entity Type | Organization |
| Organization Name | CPO PSC |
| Other Organization Name | RX ADVANTAGE 001 |
| Practice Address |
4402 Churchman Ave Ste 404 Louisville KY 40215-3102 |
| Practice Telephone | 5023689591 |
| Practice Fax Number | 8662632295 |
| Mailing Telephone | 5023689591 |
| Mailing Fax Number | 8662632295 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | LAWRENCE PETERS (MD) |
| Authorized Official Telephone | 5023689591 |
| Authorized Official Credential | PHARMD |
| 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 |
P07630 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145867 | 01 |
| Other Name | Type Code |
|---|---|
| Rx Advantage 001 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720090525 | Cpo Psc | Durable Medical Equipment & Medical Supplies | 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 | 2006-08-12 |
| Street Address |
4402 CHURCHMAN AVE STE 404 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| 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 | 40215 |
Please comment or provide details below to improve the information on CPO PSC.
| 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.