Organization Active NPI

Kupper & Daughters LLC

Doing business as Cox's Variety and Pharmacy #5

  • Community/Retail Pharmacy
  • Louisville, KY
National Provider Identifier
1164506291
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07157 Issued in KY
Legal business name
KUPPER & DAUGHTERS LLC
Doing business as
Cox's Variety and Pharmacy #5
Practice address
9843 3Rd Street Rd
Louisville, KY 40272-2801
Phone
(502) 933-8444
Fax
(502) 933-8477
NPI assigned
Oct 25, 2006
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Michael Kupper, BS PHARMACY
Title
Pharmacist in Charge
Phone
(502) 933-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P07157 KY Primary

Addresses

Primary practice location

9843 3Rd Street Rd
Louisville, KY 40272-2801

Mailing address

9843 3Rd Street Rd
Louisville, KY 40272-2801
Phone (502) 933-8444

Other identifiers 1

IdentifierTypeStateIssuer
54012331MedicaidKY

Other names 1

  • COX'S VARIETY AND PHARMACY #5 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930094926 KY DME Supplier - Pharmacy 9133323322 Practice locations: Louisville, KY
O20101021000830 KY Part B Supplier - Mass Immunization (Roster Biller Only) 9133323322 Practice locations: Louisville, KY

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Coxs Variety & Pharmacy #59843 3Rd Street Rd, Louisville, KY 40272-2801(502) 933-8444 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 22, 2010

National Provider Directory

National Provider Directory

Locations

9843 3rd Street Rd
Louisville, KY 40272
Phone (502) 933-8444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1164506291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9843 3RD STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722801",
            "telephone_number": "502-933-8444",
            "fax_number": "502-933-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9843 3RD STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722801",
            "telephone_number": "502-933-8444",
            "fax_number": "502-933-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUPPER & DAUGHTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "KUPPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "502-933-8444",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54012331",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COX'S VARIETY AND PHARMACY #5",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COX'S VARIETY AND PHARMACY #5",
            "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 Jun 14, 2022; 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.