My RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07716 Issued in KY

Legal business name

MY RX LLC

Doing business as

My Pharmacy

Practice address

170 Dr Arla Way Ste 105
Louisville, KY 40229-5454

Phone

(502) 277-1425

Fax

(502) 277-1427

NPI assigned

Sep 23, 2015

Last updated

Nov 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Fletcher, PHARMDNPI 1487124434

Title

Pharmacy Manager

Phone

(502) 439-7738

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• My Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Rebecca Fletcher, PHARMD

  • Pharmacist
  • Louisville, KY
  • NPI 1487124434
  NPD Authorized official

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1750750394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295454",
            "telephone_number": "502-277-1425",
            "fax_number": "502-277-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295454",
            "telephone_number": "502-277-1425",
            "fax_number": "502-277-1427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6470 N Preston Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402295407",
            "country_code": "US",
            "telephone_number": "502-277-1425",
            "fax_number": "502-277-1427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "502-439-7738",
        "authorized_official_credential": "PHARMD"
    },
    "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": "P07716",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154580",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100377810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.

Verify at the official NPI Registry.