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KENTUCKY CVS PHARMACY L.L.C. NPI 1003919747


NPI Information

NPI: 1003919747
Provider Name: KENTUCKY CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #06207

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5300 S 3RD ST
LOUISVILLE, KY
ZIP 40214
Phone: (502) 361-2504
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KENTUCKY CVS PHARMACY, L.L.C. is a pharmacy in Louisville, KY. The provider is 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. KENTUCKY CVS PHARMACY, L.L.C. NPI is 1003919747. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #06207.

The provider's business location address is:

5300 S 3RD ST
LOUISVILLE, KY
ZIP 40214-612
Phone: (502) 361-2504

The provider's authorized official is Susan F Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 4/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyP06026KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16031860018MEDICARE NSCKENTUCKY
2P00959527MEDICARE PINKENTUCKY
31813802OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4P300023924MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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