NPIMap

Organization Active NPI

Spencer Drug, LLC

  • Community/Retail Pharmacy
  • Irvine, KY
National Provider Identifier
1851327290
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07289 Issued in KY
Legal business name
SPENCER DRUG, LLC
Doing business as
Irvine HealtH Care Pharmacy
Practice address
1325 Richmond Rd Ste 1
Irvine, KY 40336-7233
Phone
(606) 723-5446
Fax
(606) 723-9017
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
John P Spencer, PHARM. D.
Title
Owner
Phone
(606) 723-5446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P07289 KY
Community/Retail Pharmacy 3336C0003X P07289 KY Primary

Addresses

Primary practice location

1325 Richmond Rd Ste 1
Irvine, KY 40336-7233

Mailing address

PO Box 316
Irvine, KY 40336-0316
Phone (606) 723-5446

Other identifiers 1

IdentifierTypeStateIssuer
7100053290MedicaidKY

Other names 1

  • Irvine HealtH Care Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930087153 KY DME Supplier - Pharmacy 9032319892 Practice locations: Irvine, KY
O20110606000087 KY Part B Supplier - Mass Immunization (Roster Biller Only) 9032319892 2 other NPIs on this enrollment
Practice locations: Richmond, KY; Versailles, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Estill Clinic Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

905 Richmond Rd
Irvine, KY 40336
Phone (606) 723-5446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1851327290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403360316",
            "telephone_number": "606-723-5446",
            "fax_number": "606-723-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 RICHMOND RD STE 1",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367233",
            "telephone_number": "606-723-5446",
            "fax_number": "606-723-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-723-5446",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P07289",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100053290",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irvine HealtH Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.