Organization Active NPI

Thompson Drug Saddlebrook, Inc.

  • Pharmacy
  • London, KY
National Provider Identifier
1295760817
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P06759 Issued in KY
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

Updated by the provider on Jul 13, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54003322MedicaidKY
1827332OtherNCPDP
90005588MedicaidKY

Other names 1

  • Windham Drug, Inc. Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2165467Thompson Drug Saddlebrook575 West Laurel Rd, London, KY 40741Certificate of waiverApr 28, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Thompson Drug Saddlebrook575 W Laurel Rd, London, KY 40741-8208(606) 862-6261 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.