Active NPI
KD Wheatley LLC
- Community/Retail Pharmacy
- Bardstown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P06950
- Legal business name
- KD WHEATLEY LLC
- Practice address
- 102 N 3Rd St
Bardstown, KY 40004-1526 - Phone
- (502) 348-9261
- Fax
- (502) 348-3334
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Wheatley, RPH
- Title
- Owner
- Phone
- (502) 348-9261
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P06950 | KY | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
102 N 3Rd St
Bardstown, KY 40004-1526
Mailing address
102 N 3Rd St
Bardstown, KY 40004
Phone (502) 348-9261
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100198170 | Medicaid | KY | |
| 7100199730 | Medicaid | KY | |
| 2028540 | Other | PK |
Other names 1
- HURST DISCOUNT DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930084866 | KY | DME Supplier - Pharmacy | 2769543099 | Practice locations: Bardstown, KY |
| O20200522001664 | KY | Part B Supplier - Pharmacy | 2769543099 | Practice locations: Bardstown, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| KD Wheatley LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
102 N 3rd St
Bardstown, KY 40004
Phone (502) 348-9261
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bardstown, KY
- NPI 1427505601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1548364508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N 3RD ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "40004",
"telephone_number": "502-348-9261",
"fax_number": "502-348-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N 3RD ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041526",
"telephone_number": "502-348-9261",
"fax_number": "502-348-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KD WHEATLEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "WHEATLEY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-348-9261",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P06950",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100198170",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100199730",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2028540",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HURST DISCOUNT DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.