B&B Pharmacy, PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

B&B PHARMACY, PLLC

Doing business as

B&B Pharmacy

Practice address

126 Shadowmeade Lane
Unit 2
Mount Washington, KY 40047

Phone

(502) 538-5000

Fax

(502) 538-0330

NPI assigned

Aug 24, 2020

Last updated

Jun 7, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

B&B PHARMACY, PLLCAs reported in NPPES

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

Authorized official

Name

Ellen Krajewski Barger, PHARMDNPI 1417185505

Title

Pic

Phone

(502) 543-8200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• B&B Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• B&B Pharmacy, PLLC

  dba B&B Pharmacy

  • Community/Retail Pharmacy
  • Shepherdsville, KY
  • NPI 1629464854

  9335458272

  Same PAC ID

Tax ID family

BB Pharmacy2 organizations share this tax ID, including this one

Part of

BB Pharmacy

Other organizations with this tax ID 1

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

• B&B Pharmacy, PLLC

  dba B&B Pharmacy

  • Community/Retail Pharmacy
  • Shepherdsville, KY
  • NPI 1629464854
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• B&B Pharmacy, PLLC

  dba B&B Pharmacy

  • Community/Retail Pharmacy
  • Shepherdsville, KY
  • NPI 1629464854
  NPPES parent name

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.

• Ellen Krajewski Barger, PHARM. D.

  • Pharmacist
  • Shepherdsville, KY
  • NPI 1417185505
  NPD Authorized official

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1114539822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SHADOWMEADE LANE",
            "address_2": "UNIT 2",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "40047",
            "telephone_number": "502-538-5000",
            "fax_number": "502-538-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SHADOWMEADE LANE",
            "address_2": "UNIT 2",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "40047",
            "telephone_number": "502-538-5000",
            "fax_number": "502-538-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&B PHARMACY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B&B PHARMACY, PLLC",
        "enumeration_date": "2020-08-24",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "BARGER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "KRAJEWSKI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "502-543-8200",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100696040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B&B Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "B&B Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Mt Washington, KY
• Providers in Mt Washington, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.