Active NPI
Pooles Pharmacy Care Inc
- Community/Retail Pharmacy
- Central City, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PO6093
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2031653 | Other | PK | |
| 90110891 | Medicaid | KY | |
| 54006341 | Medicaid | KY |
Other names 1
- POOLES PHARMACY CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930065327 | KY | DME Supplier - Pharmacy | 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 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 |
|---|---|---|
| Pooles Pharmacy Care Inc | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Central City, KY
- NPI 1588533061
-
- Pharmacist
- Central City, KY
- NPI 1760683874
-
- Pharmacist
- Central City, KY
- NPI 1730462805
-
- Pharmacist
- Central City, KY
- NPI 1093798613
-
- Pharmacist
- Central City, KY
- NPI 1184270126
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.