Ul Clinic LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01788 Issued in KY

Legal business name

UL CLINIC LLC

Doing business as

Upper Levisa Clinic Pharmacy

Practice address

137 N. Levisa Rd.
Mouthcard, KY 41548

Phone

(606) 835-4991

Fax

(606) 835-4219

NPI assigned

Sep 13, 2006

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Saad

Title

President

Phone

(318) 259-7334

Specialties & licenses 1

Addresses

Other names 1

• UPPER LEVISA CLINIC PHARMACY Doing business as

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1376648659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N LEVISA RD",
            "city": "MOUTHCARD",
            "state": "KY",
            "postal_code": "415488116",
            "telephone_number": "606-835-4991",
            "fax_number": "606-835-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N. LEVISA RD.",
            "city": "MOUTHCARD",
            "state": "KY",
            "postal_code": "41548",
            "telephone_number": "606-835-4991",
            "fax_number": "606-835-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-259-7334"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P01788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPPER LEVISA CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UPPER LEVISA CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Elizabeth Deel, APRN-FNP
• Levisa Pharmacy LLC
• Diana Riley, IECE
• Riverstone Family Care, LLC
• Riverstone Family Medicine
• Ul Clinic LLC (Upper Levisa Clinic Pharmacy)

• Community/Retail Pharmacy in Mouthcard, KY
• Providers in Mouthcard, 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 Dec 18, 2024; 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.