Active NPI
Medpharmacy Inc.
- Pharmacy
- Louisville, KY
National Provider Identifier
1174910186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MEDPHARMACY INC.
- Practice address
- 11840 Commonwealth Dr
Louisville, KY 40299-2309 - Phone
- (502) 409-7324
- Fax
- (502) 409-7278
- NPI assigned
- Apr 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanya Faller
- Title
- Ceo
- Phone
- (270) 566-4429
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P07688 | KY | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | KY | ||
| Pharmacy | 333600000X | KY | Primary | |
| Compounding Pharmacy | 3336C0004X | P07688 | KY |
Addresses
Primary practice location
11840 Commonwealth Dr
Louisville, KY 40299-2309
Mailing address
11840 Commonwealth Dr
Louisville, KY 40299-2309
Phone (502) 409-7324
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100343870 | Medicaid | KY | |
| PO7688 | Other | KY | KY PHARMACY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452816000000",
"number": "1174910186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11840 COMMONWEALTH DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992309",
"telephone_number": "502-409-7324",
"fax_number": "502-409-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11840 COMMONWEALTH DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992309",
"telephone_number": "502-409-7324",
"fax_number": "502-409-7278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDPHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-17",
"last_updated": "2016-01-15",
"status": "A",
"authorized_official_last_name": "FALLER",
"authorized_official_first_name": "TANYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "270-566-4429"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P07688",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "KY",
"license": "P07688",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100343870",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY PHARMACY",
"identifier": "PO7688",
"state": "KY"
}
],
"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 Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.