C D S 10 Pharmacy LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

C D S 10 PHARMACY LLC

Doing business as

CDS#10 Clinical Services

Practice address

1308 Ashley Circle
Bowling Green, KY 42104

Phone

(270) 779-0599

Fax

(270) 781-5652

NPI assigned

Oct 12, 2021

Last updated

Oct 12, 2021By 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

Jane Ellen Lacefield, PHARMDNPI 1316563075

Title

Authorized Official

Phone

(270) 781-5661

Specialties & licenses 1

Addresses

Other names 1

• CDS#10 Clinical Services Doing business as

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.

• Jane Ellen Lacefield, PHARMD

  • Pharmacist
  • Bowling Green, KY
  • NPI 1316563075
  Authorized official Same address or phone

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1871255430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 ASHLEY CIRCLE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "270-779-0599",
            "fax_number": "270-781-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ASHLEY CIRCLE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "270-779-0599",
            "fax_number": "270-781-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C D S 10 PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "LACEFIELD",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "270-781-5661",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDS#10 Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Wood Byrd, M.D.
• Timothy Dewayne Byrd, RPH
• Michael Patrick Byrne, M.D.
• C D S 10 Pharmacy LLC (Long Term Care CDS 10 Pharmacy LLC)
• C D S 10 Pharmacy LLC (CDS #10 Pharmacy)
• C Fred Gott M.D.
• C H & R LLC (Northgate Pharmacy)
• Ana Sofia Cabellos, AS, RBT
• Diego Felipe Cabrera Fernandez, M.D.
• Diana Gail Caillouet, LMFT

• Family Medicine Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.