Organization Active NPI

Eastland Pharmacy LLC

Doing business as Eastland Pharmacy

  • Long Term Care Pharmacy
  • Lexington, KY
National Provider Identifier
1053027318
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
EASTLAND PHARMACY LLC
Doing business as
Eastland Pharmacy
Practice address
1301 Winchester Rd Ste 69
Lexington, KY 40505-4132
Phone
(859) 309-0960
Fax
(859) 309-0951
NPI assigned
Jan 30, 2023
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Hunter Stewart, PHARMDNPI 1669120531
Title
Owner/Pharmacist
Phone
(859) 309-0960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1301 Winchester Rd Ste 69
Lexington, KY 40505-4132

Mailing address

1301 Winchester Rd Ste 69
Lexington, KY 40505-4132
Phone (859) 309-0960

Other identifiers 1

IdentifierTypeStateIssuer
P08220OtherKYPHARMACY PERMIT

Other names 1

  • Eastland Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastland Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1301 Winchester Rd
Ste 69
Lexington, KY 40505
Phone (859) 309-0960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1053027318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WINCHESTER RD STE 69",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054132",
            "telephone_number": "859-309-0960",
            "fax_number": "859-309-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WINCHESTER RD STE 69",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054132",
            "telephone_number": "859-309-0960",
            "fax_number": "859-309-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "859-309-0960",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "P08220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.