Active NPI
Etown Infusion Pharmacy LLC
- Home Infusion Agency
- Elizabethtown, KY
National Provider Identifier
1295010833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- ETOWN INFUSION PHARMACY LLC
- Practice address
- 914 N Dixie Ave
Suite 101
Elizabethtown, KY 42701-2520 - Phone
- (270) 506-2463
- NPI assigned
- Oct 14, 2011
- 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
- Kevin Zepp
- Title
- Owner
- Phone
- (270) 506-2463
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | P07475 | KY | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | P07475 | KY | |
| Home Infusion Therapy Pharmacy | 3336H0001X | P07475 | KY |
Addresses
Primary practice location
914 N Dixie Ave
Suite 101
Elizabethtown, KY 42701-2520
Mailing address
914 N Dixie Ave Ste 101
Elizabethtown, KY 42701-2536
Phone (270) 506-2463
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100185430 | Medicaid | KY | |
| 2132664 | Other | PK | |
| 50037219 | Medicaid | KY | |
| 7100228060 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120404000577 | KY | Part B Supplier - Pharmacy | 7810157567 | Practice locations: Elizabethtown, KY |
| O20120913000558 | KY | DME Supplier - Pharmacy | 7810157567 | Practice locations: Elizabethtown, KY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Home Infusion Therapy Pharmacy
- Elizabethtown, KY
- NPI 1578150629
7810157567
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1295010833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 N DIXIE AVE STE 101",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012536",
"telephone_number": "270-506-2463",
"fax_number": "270-506-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N DIXIE AVE",
"address_2": "SUITE 101",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012520",
"telephone_number": "270-506-2463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETOWN INFUSION PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-14",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "ZEPP",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-506-2463"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P07475",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "KY",
"license": "P07475",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "KY",
"license": "P07475",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100185430",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2132664",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50037219",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100228060",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.