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KENTUCKY CVS PHARMACY LLC NPI 1679904270


NPI Information

NPI: 1679904270
Provider Name: KENTUCKY CVS PHARMACY LLC

Doing Business As: CVS PHARMACY # 10048

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1571 N DIXIE HWY
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 737-0352
Get Directions

KENTUCKY CVS PHARMACY LLC is a pharmacy in Elizabethtown, 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 LLC NPI is 1679904270. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 10048.

The provider's business location address is:

1571 N DIXIE HWY
ELIZABETHTOWN, KY
ZIP 42701-653
Phone: (270) 737-0352

The provider's authorized official is Susan F Colbert .
The authorized official title is Director and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 12/6/2013 and was last updated on 4/11/2014.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

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
11834096OTHERKENTUCKYNCPDP
27100277390MEDICAIDKENTUCKY
36031860066MEDICARE NSCKENTUCKY
4P300023924MEDICARE PINKENTUCKY

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: 4/28/2024

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