Organization Active NPI

Parkviewrx Ky, LLC

Doing business as Matrix VIP Kentucky

  • Long Term Care Pharmacy
  • London, KY
National Provider Identifier
1538093091
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PARKVIEWRX KY, LLC
Doing business as
Matrix VIP Kentucky
Practice address
95 S Laurel Rd Ste 2
London, KY 40744-8300
Phone
(606) 657-4944
Fax
(606) 657-4945
NPI assigned
Jun 10, 2026
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Justin WaclawekNPI 1295125714
Title
Coo
Phone
(716) 876-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

95 S Laurel Rd Ste 2
London, KY 40744-8300

Mailing address

3920 Main St Ste 100
Amherst, NY 14226-3350

Other names 1

  • Matrix VIP Kentucky Doing business as

National Provider Directory

National Provider Directory

Locations

95 S Laurel Rd
Ste 2
London, KY 40744
Phone (606) 657-4944

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1538093091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MAIN ST STE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S LAUREL RD STE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448300",
            "telephone_number": "606-657-4944",
            "fax_number": "606-657-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEWRX KY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "WACLAWEK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "716-876-2323"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix VIP Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.