Individual provider Active NPI

Elizabeth Hugenberg, RPH

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1467885251
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
016756 Issued in KY
Practice address
11901 Standiford Plaza Dr
Pharmacy
Louisville, KY 40229-5906
Phone
(502) 968-6766
Fax
(502) 968-6744
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 016756 KY Primary

Addresses

Primary practice location

11901 Standiford Plaza Dr
Pharmacy
Louisville, KY 40229-5906

Mailing address

11901 Standiford Plaza Dr
Pharmacy
Louisville, KY 40229-5906
Phone (502) 968-6766

Other names 1

  • Elizabeth Nutt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
016756KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1467885251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 STANDIFORD PLAZA DR",
            "address_2": "PHARMACY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295906",
            "telephone_number": "502-968-6766",
            "fax_number": "502-968-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 STANDIFORD PLAZA DR",
            "address_2": "PHARMACY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295906",
            "telephone_number": "502-968-6766",
            "fax_number": "502-968-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGENBERG",
        "first_name": "ELIZABETH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "016756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NUTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 15, 2015; 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.