Encore Infusion Kentucky, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ENCORE INFUSION KENTUCKY, LLC

Doing business as

Encore Infusion

Practice address

101 Prosperous PL Ste 150
Lexington, KY 40509-1868

Phone

(865) 862-4557

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Stacey Shelton

Title

Director of Business Development

Phone

(513) 313-9014

Specialties & licenses 2

Addresses

Other names 1

• Encore Infusion Doing business as

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1669136776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32789",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334202789",
            "telephone_number": "561-327-4970",
            "fax_number": "561-823-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PL STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091868",
            "telephone_number": "865-862-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE INFUSION KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "513-313-9014"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Encore Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Ira Emrich, DMD
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• Eric Endean, MD
• Casey Endicott, PHARMD
• Evan Lawson Endicott, PHARM.D.
• Andre Nicolas Ene, MD

• General Practice Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.