Cpo PSC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07630 Issued in KY

Legal business name

CPO PSC

Doing business as

Rx Advantage 001

Practice address

4402 Churchman Ave Ste 404
Louisville, KY 40215-3102

Phone

(502) 368-9591

Fax

(866) 263-2295

NPI assigned

Jan 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence Peters, PHARMDNPI 1417927229

Title

MD

Phone

(502) 368-9591

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rx Advantage 001 Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24632/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence H Peters, MD

  • Pain Medicine Physician
  • Louisville, KY
  • NPI 1417927229
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1316285661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE STE 404",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402153102",
            "telephone_number": "502-368-9591",
            "fax_number": "866-263-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE STE 404",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402153102",
            "telephone_number": "502-368-9591",
            "fax_number": "866-263-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "502-368-9591",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx Advantage 001",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rx Advantage 001",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tobey L Coyle, MD
• Dave Jay Coyne, L.AC.
• Killian Cavanaugh Coyne, MD
• Robert Cozzens
• Cpa Lab Clinic Associates Inc
• Cpo PSC
• Courtney Crable, DPT
• Chelsea Crabtree
• Cynthia Sue Crabtree, D.O.
• Garrett M Crabtree, M.D.

• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.