NPIMap

Organization Active NPI

Hepatitis C Treatment Centers Inc

  • Community/Retail Pharmacy
  • Louisville, KY
National Provider Identifier
1659316859
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06887 Issued in KY
Legal business name
HEPATITIS C TREATMENT CENTERS INC
Practice address
1009A N Dupont SQ
Ste 203
Louisville, KY 40207-4612
Phone
(502) 894-9951
Fax
(502) 894-9991
NPI assigned
Jun 19, 2006
Organization subpart
Yes
Parent organization
HEPATITIS C TREATMENT CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mrs. Lori Bond
Title
Ceo Owner
Phone
(502) 727-8268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P06887 KY Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

1009A N Dupont SQ
Ste 203
Louisville, KY 40207-4612

Mailing address

PO Box 384
Prospect, KY 40059-0384
Phone (502) 721-5220

Other identifiers 3

IdentifierTypeStateIssuer
P06887OtherKYLICENSE KY
1828144OtherNCPDP PROVIDER IDENTIFICATION NUMBER
7100122160MedicaidKY

Other names 1

  • HCTC PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hepatitis C Treatment Ctr4 organizations share this tax ID, including this one
Part of
Hepatitis C Treatment Ctr

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1009A N DuPont Sq
Ste 203
Louisville, KY 40207
Phone (502) 894-9951

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1659316859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400590384",
            "telephone_number": "502-721-5220",
            "fax_number": "502-894-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009A N DUPONT SQ",
            "address_2": "STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074612",
            "telephone_number": "502-894-9951",
            "fax_number": "502-894-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPATITIS C TREATMENT CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEPATITIS C TREATMENT CENTERS INC",
        "enumeration_date": "2006-06-19",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "502-727-8268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06887",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE KY",
            "identifier": "P06887",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1828144",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100122160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2015; 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.