Organization Active NPI

Churchman Pharmacy

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1154414662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
006542 Issued in KY
Legal business name
CHURCHMAN PHARMACY
Practice address
4402 Churchman Ave.
Suite 102
Louisville, KY 40215-1190
Phone
(502) 366-1798
Fax
(502) 361-4334
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Allen Davis, RPH
Title
Pharmacist
Phone
(502) 366-1798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 006542 KY Primary

Addresses

Primary practice location

4402 Churchman Ave.
Suite 102
Louisville, KY 40215-1190

Mailing address

4402 Churchman Ave.
Suite 102
Louisville, KY 40215-1190
Phone (502) 366-1798

National Provider Directory

National Provider Directory

Locations

4402 Churchman Ave
Ste 102
Louisville, KY 40215
Phone (502) 366-1798

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154414662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE.",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-366-1798",
            "fax_number": "502-361-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE.",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-366-1798",
            "fax_number": "502-361-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCHMAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "502-366-1798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "006542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.