KENTUCKY CVS PHARMACY LLC (NPI# 1679904270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679904270 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 10048 |
| Practice Address |
1571 N Dixie Hwy Elizabethtown KY 42701-2653 |
| Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 2707370352 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2014-04-11 |
| Authorized Official Name | SUSAN F COLBERT (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 | 7100277390 | 05 | |
| KY | NCPDP | 1834096 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10048 | 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 |
| 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 |
1571 N DIXIE HWY |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2653 |
| 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 | 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 |
|---|---|---|---|---|
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1326409475 | Dixie Pharmacy-2 LLC | Pharmacy | 1311 Ring Rd Ste 107, Elizabethtown, KY 42701-8968 | 2016-03-17 |
| 1225221112 | Darrenkamps Mt Joy Market Inc | Pharmacy | 191 Ridgeview Rd S, Elizabethtown, PA 17022-9502 | 2007-08-23 |
| 1871658039 | Dickersons Pharmacy Inc | Pharmacy | 503 Doctors Dr, Elizabethtown, NC 28337 | 2006-12-27 |
| 1508935453 | Century Pharmacy Inc | Pharmacy | 790 N Dixie Ave Ste 1100, Ste 1100, Elizabethtown, KY 42701-2459 | 2006-11-07 |
| 1447330675 | Ljb Inc | Pharmacy | 2415 Ring Rd, Elizabethtown, KY 42701 | 2006-10-16 |
| 1447367628 | Kph Healthcare Services, Inc. | Pharmacy | 7550 Court St, Elizabethtown, NY 12932-0615 | 2006-08-24 |
| 1881619567 | Kroger Limited Partnership I | Pharmacy | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2006-07-13 |
| 1740213073 | Weis Markets Inc | Pharmacy | 1629 S Market St, Elizabethtown, PA 17022-2852 | 2006-07-09 |
| 1710977442 | Larry J & Bonnie P Russell | Pharmacy | 910 N Dixie Ave Ste 105, Elizabethtown, KY 42701-2519 | 2005-10-25 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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.