Active NPI
Pharm-Save, Inc.
- Long Term Care Pharmacy
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- P07571
- Legal business name
- PHARM-SAVE, INC.
- Practice address
- 13040 Eastgate Park Way Ste 105
Louisville, KY 40223-3915 - Phone
- (502) 254-4351
- NPI assigned
- May 14, 2013
- 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
- Ross William Brickley
- Title
- Vice President
- Phone
- (919) 306-8976
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | P07571 | KY | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
13040 Eastgate Park Way Ste 105
Louisville, KY 40223-3915
Mailing address
13040 Eastgate Park Way Ste 105
Louisville, KY 40223-3915
Phone (502) 254-4351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100246770 | Medicaid | KY |
Other names 1
- Neil Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210602003283 | KY | Part B Supplier - Pharmacy | 7517208085 | Practice locations: Louisville, KY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2197621 | Pharm-Save, Inc D/B/a | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
13040 Eastgate Park Way
Ste 105
Louisville, KY 40223
Phone (502) 254-4351
2545 Jetport Rd
Kinston, NC 28504
Phone (252) 522-3030
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Pharmacist
- Waxhaw, NC
- NPI 1407220841
-
- Geriatric Pharmacist
- Mooresville, NC
- NPI 1245392950
-
- Geriatric Pharmacist
- Mooresville, NC
- NPI 1306999313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606262400000",
"number": "1053757393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13040 EASTGATE PARK WAY STE 105",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233915",
"telephone_number": "502-254-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13040 EASTGATE PARK WAY STE 105",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233915",
"telephone_number": "502-254-4351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARM-SAVE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-14",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "BRICKLEY",
"authorized_official_first_name": "ROSS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "919-306-8976"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "KY",
"license": "P07571",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100246770",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Neil Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.