Active NPI
Komeneci Yates, RPH
- Pharmacist
- Louisville, KY
National Provider Identifier
1679498703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016656
- Practice address
- 6620 Bardstown Rd
Louisville, KY 40291-3045 - Phone
- (502) 231-1310
- NPI assigned
- Aug 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016656 | KY | Primary |
Addresses
Primary practice location
6620 Bardstown Rd
Louisville, KY 40291-3045
Mailing address
743 E Broadway # 208
Louisville, KY 40202-1711
Phone (502) 231-1310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1679498703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 E BROADWAY # 208",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021711",
"telephone_number": "502-231-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402913045",
"telephone_number": "502-231-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "KOMENECI",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "KY",
"license": "016656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.