Organization Active NPI

CK Lewis Enterprises Inc

Doing business as Bluegrass Apothecary

  • Community/Retail Pharmacy
  • Owensboro, KY
National Provider Identifier
1659435618
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06865 Issued in KY
Legal business name
CK LEWIS ENTERPRISES INC
Doing business as
Bluegrass Apothecary
Practice address
3000 Alvey Park Dr W
Owensboro, KY 42303-4099
Phone
(270) 926-4080
Fax
(270) 684-4407
NPI assigned
Dec 21, 2006
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Carl Lewis, RPHNPI 1952921991
Title
Owner
Phone
(270) 926-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P06865 KY Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

3000 Alvey Park Dr W
Owensboro, KY 42303-4099

Mailing address

3000 Alvey Park Dr W
Owensboro, KY 42303-4099
Phone (270) 926-4080

Other identifiers 2

IdentifierTypeStateIssuer
54005020MedicaidKY
2034084OtherPK

Other names 1

  • Bluegrass Apothecary Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090323000214 KY Part B Supplier - Mass Immunization (Roster Biller Only) 4385701168 Practice locations: Owensboro, KY
O20100930095249 KY DME Supplier - Pharmacy 4385701168 Practice locations: Owensboro, KY

National Provider Directory

National Provider Directory
Tax ID family
Bluegrass Apothecary2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1659435618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALVEY PARK DR W",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034099",
            "telephone_number": "270-926-4080",
            "fax_number": "270-684-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALVEY PARK DR W",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034099",
            "telephone_number": "270-926-4080",
            "fax_number": "270-684-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK LEWIS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-926-4080",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06865",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54005020",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.