Cencora Patient Services, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CENCORA PATIENT SERVICES, LLC

Doing business as

Cencora Patient Services

Practice address

345 International Blvd
Ste 200
Brooks, KY 40109

Phone

(855) 437-2370

Fax

(877) 398-4165

NPI assigned

Apr 15, 2024

Last updated

Oct 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Max Eiler, RPH

Title

Sr. Director of Pharmacy Services

Phone

(469) 365-8338

Specialties & licenses 1

Addresses

Other names 1

• Cencora Patient Services Doing business as

Tax ID family

Cencora Patient Services LLC2 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.

• The Lash Group

  • Pharmacy
  • Fort Mill, SC
  • NPI 1578270021
  NPD tax ID

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1063266153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 PLANO PARKWAY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "469-365-8245",
            "fax_number": "469-365-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 INTERNATIONAL BLVD",
            "address_2": "STE 200",
            "city": "BROOKS",
            "state": "KY",
            "postal_code": "40109",
            "telephone_number": "855-437-2370",
            "fax_number": "877-398-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENCORA PATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "EILER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "469-365-8338",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cencora Patient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Dental Center Brooks
• Mindy Jo Ashford, BCBA, LBA
• Cynthia Leigh Byrd, PRIMARY SERVICE COOR
• Caremetx Pharmacy, LLC
• Rebekah Lynn Donovan, DI
• Kelcey Duerson, PHARMD
• Delores Mae O'Daniel, D.M.D., PLC
• Hanable Sadiq, PHARMD
• Theracom LLC (TheraCom)

• Pharmacy in Brooks, KY
• Providers in Brooks, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.