Active NPI
Ky Pharmacy
Doing business as Kentucky Pharmacy
- Community/Retail Pharmacy
- Louisville, KY
National Provider Identifier
1912774050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vy Truong
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240424000981 | KY | Part B Supplier - Pharmacy | 3274972260 | Practice locations: Louisville, KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hyde Park, MA
- NPI 1477838860
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.