Derby Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DERBY PHARMACY LLC

Practice address

501 Parker PL Unit 100
La Grange, KY 40031-2231

Phone

(502) 265-0020

Fax

(502) 265-0107

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Anuradha Alur

Title

Owner

Phone

(502) 758-1205

Specialties & licenses 1

Addresses

Other names 1

• LaGrange Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1942998448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PARKER PL UNIT 100",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312231",
            "telephone_number": "502-265-0020",
            "fax_number": "502-265-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARKER PL UNIT 100",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400312231",
            "telephone_number": "502-265-0020",
            "fax_number": "502-265-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "ALUR",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-758-1205"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaGrange Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LaGrange Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Belle Day
• Lisa Michelle Dean, OTR/L
• Mackenzie Dean
• Tracy Lynn Dean
• David Morris Decuir, RPH
• Kaitlin Shea Diebold, DPT
• Caroline Speed Dishman
• Cynthia K Donner, OTR/L
• Nancy C Downs
• Corena Lynn Duckwall

• All providers in La Grange, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.