Jewish Hospital & St Marys Healthcare Inc

Key facts

NPI: 1003851981
Entity type: Organization (NPI type 2)
Primary specialty: Home Infusion Therapy Pharmacy 3336H0001X
License: 64000175A (IN)
Legal business name: JEWISH HOSPITAL & ST MARYS HEALTHCARE INC
Practice address: 5111 Commerce Crossings Dr Ste 130
Louisville, KY 40229-3128
Phone: (502) 585-7677
Fax: (502) 585-7678
NPI assigned: Jun 17, 2006
Organization subpart: No

Authorized official

Name: Michelle Woosley, PHARMD.
Title: Director of Operations
Phone: (502) 585-7677

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Infusion Therapy Pharmacy	3336H0001X	64000175A	IN	Yes
Home Infusion Therapy Pharmacy	3336H0001X	NRP.022399200-03	OH
Specialty Pharmacy	3336S0011X	P06548	KY

Addresses

Primary practice location

5111 Commerce Crossings Dr Ste 130
Louisville, KY 40229-3128

Mailing address

PO Box 950209
Louisville, KY 40295-0209
Phone (502) 585-7677

Other identifiers

Identifier	Type	State	Issuer
54001326	Medicaid	KY
200299050A	Medicaid	IN
2033005	Other		PK
90001561	Medicaid	KY

Other names

Amerimed, Inc Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 5, 2016.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1003851981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950209",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950209",
            "telephone_number": "502-585-7677",
            "fax_number": "502-585-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 COMMERCE CROSSINGS DR STE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402293128",
            "telephone_number": "502-585-7677",
            "fax_number": "502-585-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST MARYS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "WOOSLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "502-585-7677",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IN",
            "license": "64000175A",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "OH",
            "license": "NRP.022399200-03",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KY",
            "license": "P06548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54001326",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200299050A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90001561",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amerimed, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

All providers in Louisville, KY · Home Infusion Therapy Pharmacy in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.