NPIMap

Organization Active NPI

St. Matthews Pharmacy LLC

Doing business as St. Matthews Community Pharmacy

  • Pharmacy
  • Louisville, KY
National Provider Identifier
1760815823
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P07589 Issued in KY
Legal business name
ST. MATTHEWS PHARMACY LLC
Doing business as
St. Matthews Community Pharmacy
Practice address
200 N Hurstbourne Pkwy Ste 174
Louisville, KY 40222-5138
Phone
(502) 690-4462
Fax
(502) 690-4466
NPI assigned
Aug 13, 2013
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Bradley Eckmann
Title
Ceo & President
Phone
(502) 314-0146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P07589 KY Primary
Community/Retail Pharmacy 3336C0003X P07589 KY

Addresses

Primary practice location

200 N Hurstbourne Pkwy Ste 174
Louisville, KY 40222-5138

Mailing address

9500 Ormsby Station Rd Ste 400
Louisville, KY 40223-4076
Phone (502) 760-0900

Other names 1

  • St. Matthews Community Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201116002190 KY Part B Supplier - Mass Immunization (Roster Biller Only) 6305257734 1 other NPI on this enrollment
Practice locations: Louisville, KY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Commons Community Pharmacy2 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.

Locations

200 N Hurstbourne Pkwy
Ste 174
Louisville, KY 40222
Phone (502) 690-4462

Practitioners & affiliated clinicians

Practitioners 4

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": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1760815823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ORMSBY STATION RD STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234076",
            "telephone_number": "502-760-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HURSTBOURNE PKWY STE 174",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225138",
            "telephone_number": "502-690-4462",
            "fax_number": "502-690-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MATTHEWS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "ECKMANN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "502-314-0146"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07589",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Matthews Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Matthews Community 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 Mar 17, 2026; 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.