ST ELIZABETH OUTPATIENT PHARMACY (NPI# 1932250842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932250842 |
| Entity Type | Organization |
| Organization Name | ST ELIZABETH OUTPATIENT PHARMACY |
| Practice Address |
1 Medical Village Dr Edgewood KY 41017-3403 |
| Practice Telephone | 8593015348 |
| Practice Fax Number | 8593015344 |
| Mailing Telephone | 8593015348 |
| Mailing Fax Number | 8593015344 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-06-21 |
| Authorized Official Name | TOM L WARE (PIC) |
| Authorized Official Telephone | 8593015348 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | PO6507 | KS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54000591 | 05 |
| Street Address |
1 MEDICAL VILLAGE DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477279 | Gregory Dean Sweeney | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-06-20 |
| 1497356182 | Mariah Gilbert | Registered Nurse | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-11-08 |
| 1730789132 | Bailey Hancock | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1831799220 | Caroline Ewart | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1437756442 | Danielle Brauning | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-02 |
| 1649887944 | Ashleigh Eversole | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-30 |
| 1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
| 1508470360 | Michael Lavoy | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-08-31 |
| 1114538519 | Carrie Nicole Anderson | Genetic Counselor, MS | 1 Medical Village Dr, Floor 3 - Mfm, Edgewood, KY 41017-4101 | 2020-08-11 |
| 1396354569 | Timothy Robert Mcintyre | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| 1295100113 | Jeffrey Joseph Curley | General Acute Care Hospital | 100 Academic Pkwy, Kcu Box 778, Grayson, KY 41143-2205 | 2015-12-03 |
| 1316296676 | St. Elizabeth Health Care | General Acute Care Hospital | 236 Wendel H Ford Blvd, Erlanger, KY 41018-1272 | 2012-09-02 |
| 1952623944 | Basem Attum | General Acute Care Hospital | 6315 Innisbrook Dr, Prospect, KY 40059-9285 | 2010-02-18 |
| 1376877555 | University of Kentucky Department of Radiology | General Acute Care Hospital | 740 S Limestone St Rm A125, Lexington, KY 40536-0001 | 2009-09-22 |
| 1073763801 | Jacalyn Vannessa Davis | General Acute Care Hospital | 709 E Madison St, Louisville, KY 40202-1629 | 2008-09-29 |
| 1972751469 | Mesa Medical Group | General Acute Care Hospital | 660 Irvin Rd, Danville, KY 40422-8897 | 2008-09-09 |
| 1821261967 | Ardenia Sanders-cleary | General Acute Care Hospital | 6880 Kentucky 3520, West Paducah, KY 42086-9531 | 2008-04-09 |
| 1427243880 | Bluegrass Speech Pathology,pllc | General Acute Care Hospital | 862 Cassidy Pike, Ewing, KY 41039 | 2007-09-10 |
| 1457553042 | Pattie A Clay Regional Medical Center | General Acute Care Hospital | 801 Eastern By-pass, Pharmacy Department, Richmond, KY 40475 | 2007-06-05 |
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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.