Organization Active NPI

B&B Pharmacy, PLLC

  • Community/Retail Pharmacy
  • Shepherdsville, KY
National Provider Identifier
1629464854
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07682 Issued in KY
Legal business name
B&B PHARMACY, PLLC
Practice address
1578 Highway 44 E
Unit 1
Shepherdsville, KY 40165-7172
Phone
(502) 543-8200
Fax
(502) 543-8500
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Jonathan A Buckman, PHARMD
Title
Pharmacist/Owner
Phone
(502) 543-8200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P07682 KY Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1578 Highway 44 E
Unit 1
Shepherdsville, KY 40165-7172

Mailing address

1578 Highway 44 E
Unit 1
Shepherdsville, KY 40165-7172
Phone (502) 543-8200

Other identifiers 1

IdentifierTypeStateIssuer
7100350160MedicaidKY

Other names 1

  • B&B Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151016000282 KY DME Supplier - Pharmacy 9335458272 Practice locations: Shepherdsville, KY
O20160531001861 KY Part B Supplier - Mass Immunization (Roster Biller Only) 9335458272 Practice locations: Shepherdsville, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
BB Pharmacy PLLC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1629464854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 HIGHWAY 44 E",
            "address_2": "UNIT 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657172",
            "telephone_number": "502-543-8200",
            "fax_number": "502-543-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 HIGHWAY 44 E",
            "address_2": "UNIT 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657172",
            "telephone_number": "502-543-8200",
            "fax_number": "502-543-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&B PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "BUCKMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "502-543-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07682",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100350160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B&B Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "B&B Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.