Organization Active NPI

Pharm-Save, Inc.

  • Long Term Care Pharmacy
  • Louisville, KY
National Provider Identifier
1053757393
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
P07571 Issued in KY
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

Updated by the provider on Nov 25, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100246770MedicaidKY

Other names 1

  • Neil Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2197621Pharm-Save, Inc D/B/a13040 Eastgate Parkway, Suite 105, Louisville, KY 40223Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.