Active NPI
Nutrishare, LLC
- Home Infusion Therapy Pharmacy
- Louisville, KY
National Provider Identifier
1609908284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- NUTRISHARE, LLC
- Practice address
- 11020 Plantside Dr
Louisville, KY 40299-6105 - Phone
- (502) 297-0222
- Fax
- (916) 478-7924
- NPI assigned
- Mar 10, 2007
- 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
- Austin Pulsipher
- Title
- President
- Phone
- (916) 478-7811
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | P06292 | KY | |
| Home Infusion Therapy Pharmacy | 3336H0001X | KY | Primary |
Addresses
Primary practice location
11020 Plantside Dr
Louisville, KY 40299-6105
Mailing address
9850 Kent St
Elk Grove, CA 95624-9483
Phone (916) 685-5034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831393 | Other | NCPDP | |
| P08194 | Other | KY | PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pharmacist@nutrishare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930039411 | KY | DME Supplier - Pharmacy | 1951429174 | Practice locations: Louisville, KY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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 |
|---|---|---|
| Nutrishare, LLC | Infusion Drugs|External Infusion Pumps and/or Supplies|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Nutrishare LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Phoenix, AZ
- NPI 1003796889
-
- Home Infusion Therapy Pharmacy
- Elk Grove, CA
- NPI 1619084829
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
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
- Elk Grove, CA
- NPI 1760273874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1609908284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 KENT ST",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956249483",
"telephone_number": "916-685-5034",
"fax_number": "916-478-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11020 PLANTSIDE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402996105",
"telephone_number": "502-297-0222",
"fax_number": "916-478-7924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRISHARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-10",
"last_updated": "2023-03-07",
"certification_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "PULSIPHER",
"authorized_official_first_name": "AUSTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-478-7811"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "KY",
"license": "P06292",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1831393",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "P08194",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pharmacist@nutrishare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11020 Plantside Dr",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402996105",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 7, 2023; 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.