Organization Active NPI

Specialty RX Ky LLC

  • Long Term Care Pharmacy
  • Elizabethtown, KY
National Provider Identifier
1346010543
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SPECIALTY RX KY LLC
Practice address
3019 Ring Rd Ste 102
Elizabethtown, KY 42701-7348
Phone
(270) 551-3030
Fax
(908) 634-4038
NPI assigned
Jan 8, 2024
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Joel Zupnick
Title
Owner
Phone
(908) 241-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3019 Ring Rd Ste 102
Elizabethtown, KY 42701-7348

Mailing address

2 Bergen Tpke
Ridgefield Park, NJ 07660-2390
Phone (908) 241-6337

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241108000386 KY DME Supplier - Pharmacy 2567996929 Practice locations: Elizabethtown, KY
O20260616000338 KY Part B Supplier - Mass Immunization (Roster Biller Only) 2567996929 Practice locations: Elizabethtown, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Specialty RX Ky LLC3019 Ring Rd, Elizabethtown, KY 42701-7348(270) 551-3030 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 8, 2024

National Provider Directory

National Provider Directory

Locations

3019 Ring Rd
Ste 102
Elizabethtown, KY 42701
Phone (270) 551-3030

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1346010543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BERGEN TPKE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602390",
            "telephone_number": "908-241-6337",
            "fax_number": "908-634-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 RING RD STE 102",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017348",
            "telephone_number": "270-551-3030",
            "fax_number": "908-634-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY RX KY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ZUPNICK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-241-6337"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2024; 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.