Organization Active NPI

Medpharmacy Inc.

  • Pharmacy
  • Louisville, KY
National Provider Identifier
1174910186
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Jan 15, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100343870MedicaidKY
PO7688OtherKYKY PHARMACY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.