Cvs Pharmacy # 04779

LBN: Kentucky Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 04779 is an health care organization with primary practice located at 2311 Lime Kiln Ln , Louisville KY 40222-3460. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kentucky Cvs Pharmacy, L.L.C. can be contacted via phone (502) 425-4044, or through Colbert, Susan F. via phone (401) 770-2751.

Contact Information

Primary practice address
2311 Lime Kiln Ln Louisville KY 40222-3460
Phone: (502) 425-4044
Fax: (401) 770-7108
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F.
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1871817718
LBN Legal business name Kentucky Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 04779
Authorized official Colbert, Susan F.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2010
Last updated Oct 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871817718 NPPES
Kentucky Other 1831761 NCPDP
Kentucky MEDICAID 7100120340 DME NCPDP
Kentucky MEDICAID 7100114630 NCPDP

Popular Providers