Active NPI
St Matthews Specialty Pharmacy LLC
- Specialty Pharmacy
- Louisville, KY
National Provider Identifier
1407367410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- P07869
- Legal business name
- ST MATTHEWS SPECIALTY PHARMACY LLC
- Doing business as
- St Matthews Specialty Pharmacy LLC
- Practice address
- 200 N Hurstbourne Pkwy
Louisville, KY 40222-5138 - Phone
- (844) 690-4462
- Fax
- (844) 524-4673
- NPI assigned
- Oct 17, 2017
- 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
- Brad Eckmann
- Title
- Owner
- Phone
- (502) 314-0146
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X | P07869 | KY | Primary |
Addresses
Primary practice location
200 N Hurstbourne Pkwy
Louisville, KY 40222-5138
Mailing address
9500 Ormsby Station Rd Ste 400
Louisville, KY 40223-4076
Phone (502) 760-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2175327 | Other | PK |
Other names 1
- St Matthews Specialty Pharmacy LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190118002849 | KY | Part B Supplier - Pharmacy | 4486998184 | Practice locations: Louisville, KY |
National Provider Directory
National Provider DirectoryLocations
200 N Hurstbourne Pkwy
Ste 176
Louisville, KY 40222
Phone (844) 690-4462
3922 Willis Ave
#B
Louisville, KY 40207
Phone (844) 690-4462
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Louisville, KY
- NPI 1104192350
-
- Pharmacist
- Louisville, KY
- NPI 1992971386
-
- Pharmacist
- Redlands, CA
- NPI 1497336168
-
- Ambulatory Care Pharmacist
- Houston, TX
- NPI 1720695232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1407367410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 ORMSBY STATION RD STE 400",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234076",
"telephone_number": "502-760-0900",
"fax_number": "844-524-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N HURSTBOURNE PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225138",
"telephone_number": "844-690-4462",
"fax_number": "844-524-4673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MATTHEWS SPECIALTY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "ECKMANN",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-314-0146"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "KY",
"license": "P07869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2175327",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Matthews Specialty Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
- Natalie St Clair, PA-C
- Andrea Michelle St Hill, PHARM.D.
- St Matthews Fire Protection District
- St Matthews Fire Protection District Holding Company Inc (St Matthews Fire Protection District)
- St Matthews Medical Associates
- St Matthews Specialty Pharmacy LLC
- St Matthews Specialty Pharmacy LLC (St Matthews Specialty Pharmacy)
- St Matthews Specialty Pharmacy LLC (St Matthews Specialty Pharmacy LTC)
- St Matthews Transitional Care LLC
- Ann Maria St. Clair, LPCA, NCC, M.ED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.