Lifeline Pharmacy of Kentucky

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIFELINE PHARMACY OF KENTUCKY

Doing business as

Lifeline Pharmacy

Practice address

136 Plaza Dr
Cold Spring, KY 41076-2166

Phone

(513) 893-9608

Fax

(513) 672-0700

NPI assigned

Aug 30, 2024

Last updated

Mar 6, 2025By 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

Joseph WittrockNPI 1598780819

Title

Owner/Pic

Phone

(513) 746-5772

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Pharmacy Doing business as

Tax ID family

Lifeline Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeline Pharmacy of Kentucky

  dba Lifeline Pharmacy

  • Long Term Care Pharmacy
  • Cold Spring, KY
  • NPI 1457185498
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Anthony Wittrock, PHARMD, RPH, MPA

  • Pharmacist
  • Wilder, KY
  • NPI 1598780819
  NPD Authorized official

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1467286401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 PLAZA DR",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410762166",
            "telephone_number": "513-893-9608",
            "fax_number": "513-672-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 PLAZA DR",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410762166",
            "telephone_number": "513-893-9608",
            "fax_number": "513-672-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PHARMACY OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "WITTROCK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "513-746-5772"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Krahenbuhl, R.PH
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Rebekah Lange, MA
• Lifeline Pharmacy of Kentucky (Lifeline Pharmacy)
• Kristie Lynn Luggen, CSW
• James Austin Mabe, PA-C
• Mark Johnson Chiropractic P.S.C.
• Mark Johnson Chiropractic P.S.C. (ProWellness Chiropractic)
• Mark Johnson Chiropractic PSC

• Community/Retail Pharmacy in Cold Spring, KY
• Providers in Cold Spring, 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 Mar 6, 2025; 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.