Organization Active NPI

St Matthews Specialty Pharmacy LLC

  • Specialty Pharmacy
  • Louisville, KY
National Provider Identifier
1407367410
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
P07869 Issued in KY
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

Updated by the provider on Mar 17, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2175327OtherPK

Other names 1

  • St Matthews Specialty Pharmacy LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190118002849 KY Part B Supplier - Pharmacy 4486998184 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.