KENTUCKY CVS PHARMACY LLC (NPI# 1790867166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790867166 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16232 |
| Practice Address |
5151 Frederica St Owensboro KY 42301-7443 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2706844362 |
| Practice Fax Number | 2702979563 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-10-19 |
| 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 |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | P07736 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2034622 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16232 | 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 |
5151 FREDERICA ST |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-7443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184037376 | Cindy L Egelhoff | Pharmacist | 5151 Frederica St, Owensboro, KY 42301-7443 | 2014-06-05 |
| 1427342583 | Jeffrey J Mckeever | Pharmacist | 5151 Frederica St, Owensboro, KY 42301-7443 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| 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 |
|---|---|---|---|---|
| 1659435618 | Ck Lewis Enterprises Inc | Pharmacy | 3000 Alvey Park Dr W, Owensboro, KY 42303-4099 | 2006-12-21 |
| 1467531137 | Jeraben Inc | Pharmacy | 1000 E 4th St, Owensboro, KY 42303-3323 | 2006-11-03 |
| 1083648828 | Kroger Limited Partnership I | Pharmacy | 2308 Highway 144, Owensboro, KY 42303-0175 | 2006-07-10 |
| 1437193281 | Wiggins Drugs Limited | Pharmacy | 1156 Carter Rd, Owensboro, KY 42301-2644 | 2006-06-15 |
| 1144213406 | Danhauer Drug Co, Inc | Pharmacy | 330 Frederica St, Owensboro, KY 42301-3005 | 2005-08-23 |
| 1134348444 | Lincoln Pharmacy Inc | Pharmacy | 2816 Veach Rd, Lincoln Professional Ctr, Owensboro, KY 42303-6295 | 2007-04-25 |
| 1780797662 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
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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.