Active NPI
Thompson Drug Saddlebrook, Inc.
- Pharmacy
- London, KY
National Provider Identifier
1295760817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- P06759
- Legal business name
- THOMPSON DRUG SADDLEBROOK, INC.
- Practice address
- 575 W Laurel Rd
London, KY 40741-8208 - Phone
- (606) 862-6261
- Fax
- (606) 862-2187
- NPI assigned
- Jul 12, 2006
- 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
- Chris Ellen Windham, PHARM D
- Title
- V.P./Manager
- Phone
- (606) 862-6261
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | P06759 | KY | |
| Pharmacy | 333600000X | P06759 | KY | Primary |
Addresses
Primary practice location
575 W Laurel Rd
London, KY 40741-8208
Mailing address
575 W Laurel Rd
London, KY 40741-8208
Phone (606) 862-6261
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54003322 | Medicaid | KY | |
| 1827332 | Other | NCPDP | |
| 90005588 | Medicaid | KY |
Other names 1
- Windham Drug, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082580 | KY | DME Supplier - Pharmacy | 7416160957 | Practice locations: London, KY |
| O20130626000358 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416160957 | Practice locations: London, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2165467 | Thompson Drug Saddlebrook | Certificate of waiver | Apr 28, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Thompson Drug Saddlebrook | Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
575 W Laurel Rd
London, KY 40741
Phone (606) 862-6261
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- London, KY
- NPI 1245455310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594598400000",
"number": "1295760817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 W LAUREL RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407418208",
"telephone_number": "606-862-6261",
"fax_number": "606-862-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 W LAUREL RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407418208",
"telephone_number": "606-862-6261",
"fax_number": "606-862-2187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMPSON DRUG SADDLEBROOK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A",
"authorized_official_last_name": "WINDHAM",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "V.P./MANAGER",
"authorized_official_telephone_number": "606-862-6261",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "KY",
"license": "P06759",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": "P06759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54003322",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1827332",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90005588",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Windham Drug, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Windham Drug, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.