Organization Active NPI

Chewy Pharmacy LLC

  • Mail Order Pharmacy
  • Louisville, KY
National Provider Identifier
1548810757
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
CHEWY PHARMACY LLC
Practice address
11403 Bluegrass Pkwy Ste 650
Louisville, KY 40299-2398
Phone
(877) 977-3879
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Dr. Justin Mills, PHARMD
Title
VP
Phone
(502) 215-6911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

11403 Bluegrass Pkwy Ste 650
Louisville, KY 40299-2398

Mailing address

11403 Bluegrass Pkwy Ste 650
Louisville, KY 40299-2398
Phone (502) 267-1131

National Provider Directory

National Provider Directory
Tax ID family
Chewy Pharmacy LLC2 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.

Locations

11403 Bluegrass Pkwy
Ste 650
Louisville, KY 40299
Phone (877) 877-3879

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1548810757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 BLUEGRASS PKWY STE 650",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992398",
            "telephone_number": "502-267-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11403 BLUEGRASS PKWY STE 650",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992398",
            "telephone_number": "877-977-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEWY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "502-215-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2019; 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.