KENTUCKY CVS PHARMACY LLC (NPI# 1629372586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629372586 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17531 |
| Practice Address |
160 Pavilion Pkwy Newport KY 41071-2884 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8598140141 |
| Practice Fax Number | 8598140151 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07735 | KY | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2128271 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17531 | 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 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| 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 |
| Street Address |
160 PAVILION PKWY |
| City | NEWPORT |
| State | KY |
| Zip Code | 41071-2884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437537933 | Target Stores A Div. of Target Corp. | Pharmacy | 160 Pavilion Pkwy, Newport, KY 41071-2884 | 2015-05-15 |
| 1063767838 | Erin Michelle Minsterman | Pharmacist | 160 Pavilion Pkwy, Newport, KY 41071-2884 | 2012-07-18 |
| 1427328541 | Elizabeth Erin Oliver | Pharmacist | 160 Pavilion Pkwy, Newport, KY 41071-2884 | 2012-01-05 |
| 1457646663 | Christe Danielle Reynolds | Pharmacist | 160 Pavilion Pkwy, T-2483, Newport, KY 41071-2884 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598240 | Drew Austin Rappaport | Dentist | 70 Carothers Rd, Newport, KY 41071 | 2017-06-14 |
| 1811443435 | Marcus E. Mckinney | Pharmacist | 100 Aqua Way, Newport, KY 41071 | 2016-09-01 |
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1437288065 | Douglas K Braun | Dentist | 40 E 9th St, Newport, KY 41071 | 2007-03-02 |
| 1952445017 | Therapeutic Collabortive | Social Worker | 525 Licking Pike, Wilder, KY 41071 | 2007-02-20 |
| 1215078407 | Holly Ann Eary | Counselor | 519 Licking Pk, Wilder, KY 41071 | 2007-02-09 |
| 1790839819 | James John Otrembiak | Pediatrics | 525 Alexandria Pike Ste 320, Southgate, KY 41071 | 2007-01-23 |
| 1326047903 | Stephen F Mielech | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2005-07-18 |
| 1033737085 | Ashley Ryan | Nurse Practitioner | 215 E. 11th St., Newport, KY 41071 | 2020-07-07 |
| 1548733066 | Summt Medical Group, Inc | Clinic/Center | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| Find all providers in zip 41071 | ||||
| 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 |
|---|---|---|---|---|
| 1023556834 | Shivaay Pllc | Pharmacy | 7505 Grafton Rd Ste 2, Newport, MI 48166-8939 | 2017-02-01 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1558603902 | Bingham Pharmacy LLC | Pharmacy | 7825 N Dixie Hwy Ste 105, Newport, MI 48166-9750 | 2013-03-25 |
| 1063741825 | Z Pharmacy | Pharmacy | 239 Sunapee St, Newport, NH 03773-1233 | 2009-12-08 |
| 1740321850 | Hometowne Pharmacy | Pharmacy | 468 Eastern Plaza Shopping Ctr, Newport, TN 37821-3108 | 2007-02-09 |
| 1588748628 | Usa Drug & Beauty Market Franchising Systems, Inc. | Pharmacy | 1920 Malcolm Ave, Newport, AR 72112-3628 | 2006-10-25 |
| 1255430112 | Seebers Idl Drug Inc | Pharmacy | 336 S Washington Ave, Newport, WA 99156-9671 | 2006-09-21 |
| 1881791630 | Naval Health Clinic New England | Pharmacy | Nhcne, Pharmacy 43 Smith Rd Bld 43, Newport, RI 02841 | 2006-09-20 |
| 1932206158 | Jabos Pharmacy Inc | Pharmacy | 602 East Broadway, Newport, TN 37821 | 2006-09-20 |
| 1134236318 | Kph Healthcare Services, Inc. | Pharmacy | 55 Shattuck Hill Rd, Newport, VT 05855-9831 | 2006-08-24 |
| Find all providers in NEWPORT | ||||
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| 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.