FAMILY HEALTH CENTER PHARMACY (NPI# 1982789459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982789459 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER PHARMACY |
| Practice Address |
2215 Portland Ave Louisville KY 40212-1033 |
| Practice Telephone | 5027748631 |
| Mailing Telephone | 5027748631 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM B WAGNER (CEO) |
| Authorized Official Telephone | 5027748631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AL4540616 | 01 | |
| NCPDP | 1810894 | 01 | |
| KY | 54006044 | 05 | |
| KY | STATE LICENSE | P01226 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043394315 | Family Health Center Pharmacy | Pharmacy | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2006-10-24 |
| 1477506202 | Family Health Center Pharmacy | Pharmacy | 2215 Portland Ave, Louisville, KY 40212-1033 | 2006-05-19 |
| Street Address |
2215 PORTLAND AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40212-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810920 | Julia E Richerson | Pediatrics | 2215 Portland Ave, Louisville, KY 40212-1033 | 2005-06-09 |
| 1609431097 | Pamela Lynn Ratcliffe | Social Worker | 2215 Portland Ave, Louisville, KY 40212-1033 | 2019-05-01 |
| 1518453075 | Dana Renee Singletary | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2018-07-09 |
| 1881105823 | Emily B Franck | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2017-10-17 |
| 1952754749 | Bradley Randall Congleton | Dentist | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-18 |
| 1164874160 | Patricia Guzman Rojas | Family Medicine | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-01 |
| 1750738936 | Paula W. Minervino | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-05-18 |
| 1043670391 | Rod Ali Erfani | Dentist | 2215 Portland Ave, Louisville, KY 40212 | 2016-02-29 |
| 1013389022 | Izegbea M. Cannon | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-29 |
| 1659742914 | Tonia Marie Snyder-myers | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433111 | Shanita Flanagan | Home Health Aide | 4519 Southwestern Parkway, Louisville, KY 40212 | 2020-07-06 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1477605426 | Market St Dental Office Psc | Dentist | 2410 West Market St, Louisville, KY 40212 | 2007-01-18 |
| 1528118601 | Portland Dental Psc | Clinic/Center | 465 North 26th Street, Louisville, KY 40212 | 2007-01-11 |
| 1790393643 | Quality Home Care Services, LLC | In Home Supportive Care | 4519 Southwestern Parkway, Same, Louisville, KY 40212 | 2020-07-16 |
| 1659884872 | New Leaf Clinic | Clinic/Center | 2910 W Jefferson St, Louisville, KY 40212 | 2017-11-09 |
| 1164754008 | Deborah J Moreau | Nurse Practitioner | 234 Amy Ave, Louisville, KY 40212 | 2010-02-03 |
| 1982617387 | Julie R Aull | Physician Assistant | 234 Amy Ave, Louisville, KY 40212 | 2006-08-15 |
| 1255816401 | Restoration Center Inc. | Respite Care | 2611 Northwestern Pkwy, Louisville, KY 40212-1029 | 2018-10-03 |
| 1386038040 | Lufield Dialysis LLC | Clinic/Center | 2118 Portland Ave, Louisville, KY 40212-1032 | 2015-03-20 |
| Find all providers in zip 40212 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1245688035 | Family Health Centers Inc | Pharmacy | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 | 2016-06-02 |
| 1144467770 | Central State Hospital | Pharmacy | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2009-01-20 |
| 1740449636 | University Medical Center Inc | Pharmacy | 401 E Chestnut St, Suite 180, Louisville, KY 40202-5700 | 2008-06-05 |
| 1518184613 | Park Duvalle Community Health Center, Inc | Pharmacy | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2007-04-19 |
| 1477506202 | Family Health Center Pharmacy | Pharmacy | 2215 Portland Ave, Louisville, KY 40212-1033 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679131775 | Vaxclinic, LLC | Pharmacy | 1301 Winchester Rd Ste 13, Lexington, KY 40505-4132 | 2019-06-03 |
| 1780138396 | Oncology Associates Inc Psc | Pharmacy | 2603 Kentucky Ave Ste 403, Paducah, KY 42003-3830 | 2016-08-11 |
| 1386057990 | University of Kentucky | Pharmacy | 310 South Limestone St, Room C-017, Lexington, KY 40508-3008 | 2014-06-11 |
| 1194066894 | Sterling Health Solutions, Inc | Pharmacy | 209 North Maysville St, Suite 200, Mt. Sterling, KY 40353 | 2013-03-06 |
| 1316074990 | Lexington-fayette Urban-county Health Department | Pharmacy | 1640 Bryan Station Rd, Lexington, KY 40505-2144 | 2007-02-28 |
| 1265584023 | M.t.o. Pharmacy, Inc | Pharmacy | 121 W Virginia Ave Ste E100, Pineville, KY 40977-1600 | 2007-01-18 |
| 1679660823 | Central City Clinic Pharmacy Inc | Pharmacy | 203 N 2nd St, Central City, KY 42330-1205 | 2006-10-09 |
| 1679660393 | St. Claire Medical Center Dba Bath County Medical Clinic | Pharmacy | 632 Slate Avenue, Owingsville, KY 40360 | 2006-10-06 |
| 1619922978 | Walgreen Co. | Pharmacy | 152 N Buckman St, Shepherdsville, KY 40165-5900 | 2006-05-24 |
| 1467074229 | Pharmdtoyou, LLC | Pharmacy | 233 State Route 56 E, Sebree, KY 42455-9108 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40212 |
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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.