Active NPI
Twelvestone Medical, Inc
- Home Infusion Therapy Pharmacy
- Louisville, KY
National Provider Identifier
1417826728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- TWELVESTONE MEDICAL, INC
- Practice address
- 950 Breckenridge LN Ste 280a
Louisville, KY 40207-4674 - Phone
- (844) 893-0012
- NPI assigned
- Nov 4, 2025
- Last updated
- Mar 2, 2026
- Organization subpart
- Yes
- Parent organization
- TWELVESTONE MEDICAL, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Harrelson
- Title
- Director of Compliance
- Phone
- (615) 278-3278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | NU | Primary |
Addresses
Primary practice location
950 Breckenridge LN Ste 280a
Louisville, KY 40207-4674
Mailing address
PO Box 12364
Murfreesboro, TN 37129-0048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260416002762 | KY | Part B Supplier - Pharmacy | 9335269810 | Practice locations: Louisville, KY |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Twelvestone Medical Inc
- Part of
- Twelvestone Medical Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Murfreesboro, TN
- NPI 1073081972
-
- Home Infusion Therapy Pharmacy
- McDonough, GA
- NPI 1790528354
-
- Home Infusion Therapy Pharmacy
- Murfreesboro, TN
- NPI 1154418218
-
- Home Infusion Therapy Pharmacy
- Dulles, VA
- NPI 1639032865
Locations
950 Breckenridge Ln
Ste 280A
Louisville, KY 40207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772409600000",
"number": "1417826728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12364",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371290048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 BRECKENRIDGE LN STE 280A",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074674",
"telephone_number": "844-893-0012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWELVESTONE MEDICAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TWELVESTONE MEDICAL, INC",
"enumeration_date": "2025-11-04",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "HARRELSON",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "615-278-3278"
},
"taxonomies": [
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 2, 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.