Eastridge-Phelps Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EASTRIDGE-PHELPS PHARMACY LLC

Practice address

500 N Bypass Rd
Campbellsville, KY 42718-7792

Phone

(270) 789-0577

Fax

(270) 789-0578

NPI assigned

Aug 16, 2021

Organization subpart

Yes

Parent organization

EASTRIDGE-PHELPS PHARMACY, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Chad W. Phelps, PHARMD

Title

Owner/Operator

Phone

(270) 299-2333

Specialties & licenses 1

Addresses

Other names 1

• Eastridge-Phelps Pharmacy, Campbellsville Doing business as

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Eastridge-Phelps Pharmacy LLC3 organizations share this tax ID, including this one

Part of

Eastridge-Phelps Pharmacy LLC

Other organizations with this tax ID 2

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

• Eastridge-Phelps Pharmacy LLC

  • Community/Retail Pharmacy
  • Campbellsville, KY
  • NPI 1245478007
  NPD tax ID
• Eastridge-Phelps Pharmacy LLC

  • Community/Retail Pharmacy
  • Greensburg, KY
  • NPI 1407152515
  NPD tax ID

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1073288544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N BYPASS RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427187792",
            "telephone_number": "270-789-0577",
            "fax_number": "270-789-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N BYPASS RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427187792",
            "telephone_number": "270-789-0577",
            "fax_number": "270-789-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTRIDGE-PHELPS PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTRIDGE-PHELPS PHARMACY, LLC",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "270-299-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastridge-Phelps Pharmacy, Campbellsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashleigh Durham, MS, CCC/SLP
• Megan Peake Durrett, APRN
• Joel Dean Eade, MD
• Nelda Ann Eads, PHARMD
• Lisa Gail Eason
• Eastridge-Phelps Pharmacy LLC
• John R Eastridge, PHARM.D.
• Michelle Marie Edelen, OTR/L
• Christina Edrington
• Keisha Ellis, PT

• Long Term Care Pharmacy in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Long Term Care Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.