Organization Active NPI

Ky Pharmacy

Doing business as Kentucky Pharmacy

  • Community/Retail Pharmacy
  • Louisville, KY
National Provider Identifier
1912774050
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KY PHARMACY
Doing business as
Kentucky Pharmacy
Practice address
2233 Lower Hunters Trce
Louisville, KY 40216-1358
Phone
(502) 289-3797
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Authorized official

Name
Vy TruongNPI 1477838860
Title
Ceo/Pic
Phone
(781) 975-0705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2233 Lower Hunters Trce
Louisville, KY 40216-1358

Mailing address

4102 Sanctuary Bluff LN
Louisville, KY 40241-5872
Phone (781) 975-0705

Other names 1

  • Kentucky Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240424000981 KY Part B Supplier - Pharmacy 3274972260 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

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": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706313600000",
    "number": "1912774050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 SANCTUARY BLUFF LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402415872",
            "telephone_number": "781-975-0705",
            "fax_number": "502-415-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 LOWER HUNTERS TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161358",
            "telephone_number": "502-289-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "VY",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "781-975-0705"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky 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 Jan 27, 2024; 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.