Stephanie Luckett, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

019472 Issued in KY

Practice address

11420 Watterson CT Ste 600
Louisville, KY 40299-2385

Phone

(502) 297-8802

Fax

(855) 253-1020

NPI assigned

Dec 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• D&R Pharmaceutical Services, L.L.C.

  • Long Term Care Pharmacy
  • Jeffersontown, KY
  • NPI 1265537088
  NPD (past)

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1467040899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 WATTERSON CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992311",
            "telephone_number": "502-297-8802",
            "fax_number": "855-253-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 WATTERSON CT STE 600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992385",
            "telephone_number": "502-297-8802",
            "fax_number": "855-253-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26027412A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "019472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois S. Luckett, LCSW
• Makenzi Rose Luckett
• Margaret Dean Luckett, PT
• Margo Luckett, RN
• Meredith Kyle-Alvey Luckett, DPT
• Stephanie N Luckett, DMD
• Theodore Luckey
• Val Luckyan
• Aundrea Renee Ludlow, RN
• Danielle Ludlum

• Pharmacist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.