Organization Active NPI

Pooles Pharmacy Care Inc

  • Community/Retail Pharmacy
  • Central City, KY
National Provider Identifier
1639190093
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO6093 Issued in KY
Legal business name
POOLES PHARMACY CARE INC
Practice address
120 S 2ND St
Central City, KY 42330-1506
Phone
(270) 754-1545
Fax
(270) 754-9069
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Lisa Poole, BSMT
Title
Owner/Chief Financial Officer
Phone
(270) 754-1545

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PO6093 KY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

120 S 2ND St
Central City, KY 42330-1506

Mailing address

PO Box 91
Livermore, KY 42352-0091
Phone (270) 278-2367

Other identifiers 3

IdentifierTypeStateIssuer
2031653OtherPK
90110891MedicaidKY
54006341MedicaidKY

Other names 1

  • POOLES PHARMACY CARE Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930065327 KY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9335187012 Practice locations: Central City, KY
O20251014001091 KY Part B Supplier - Pharmacy 9335187012 Practice locations: Central City, KY

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Pooles Pharmacy Care Inc120 S 2ND St, Central City, KY 42330-1506(270) 754-1545 Immunosuppressive Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Tra… Does not accept assignmentParticipating since Jan 1, 2013

National Provider Directory

National Provider Directory

Locations

120 S 2nd St
Central City, KY 42330
Phone (270) 754-1545

102 W Broad St
Central City, KY 42330
Phone (270) 754-1545

159 S Main St
Greenville, KY 42345
Phone (270) 338-6060

104 E 4th St
Livermore, KY 42352
Phone (270) 278-2367

2200 E Parrish Ave
Ste 102
Owensboro, KY 42303
Phone (270) 688-1600

Practitioners & affiliated clinicians

Practitioners 5

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1639190093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "LIVERMORE",
            "state": "KY",
            "postal_code": "423520091",
            "telephone_number": "270-278-2367",
            "fax_number": "270-278-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 2ND ST",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301506",
            "telephone_number": "270-754-1545",
            "fax_number": "270-754-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLES PHARMACY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "270-754-1545",
        "authorized_official_credential": "BSMT"
    },
    "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": "PO6093",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031653",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90110891",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54006341",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POOLES PHARMACY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Central City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.