Active NPI
Stephens Drugs Inc
- Pharmacy
- Louisville, KY
National Provider Identifier
1043397912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- STEPHENS DRUGS INC
- Practice address
- 4200 Shelbyville Rd
Louisville, KY 40207-3956 - Phone
- (502) 895-5446
- Fax
- (502) 895-4497
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Goble
- Title
- President
- Phone
- (502) 895-5446
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P02419 | KY | |
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
4200 Shelbyville Rd
Louisville, KY 40207-3956
Mailing address
4200 Shelbyville Rd
Louisville, KY 40207-3956
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54027446 | Medicaid | KY | |
| 1802443 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
4200 Shelbyville Rd
Louisville, KY 40207
Phone (502) 895-5446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Louisville, KY
- NPI 1083767149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1043397912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 SHELBYVILLE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402073956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SHELBYVILLE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402073956",
"telephone_number": "502-895-5446",
"fax_number": "502-895-4497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHENS DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GOBLE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-895-5446"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P02419",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54027446",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1802443",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.