MIDDLETOWN PHARMACIST GROUP NPI 1164151585

NPI Information

  • NPI: 1164151585
  • Provider Name: MIDDLETOWN PHARMACIST GROUP
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 11601 SHELBYVILLE RD STE A
    LOUISVILLE, KY
    ZIP 40243
  • Phone: (502) 690-2410

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NPI Details

MIDDLETOWN PHARMACIST GROUP is a long term care pharmacy pharmacy in Louisville, KY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MIDDLETOWN PHARMACIST GROUP NPI is 1164151585. The provider is registered as an organization entity type.

The provider's business location address is:

11601 SHELBYVILLE RD STE A
LOUISVILLE, KY
ZIP 40243-309
Phone: (502) 690-2410

The provider's authorized official is Mary Boggess .
The authorized official title is Owner and has the following contact phone number (502) 690-2410.

The enumeration date for this NPI number is 6/9/2022 and was last updated on 6/9/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100717140MEDICAIDKENTUCKY

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: 11/21/2025

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