Active NPI
Eastland Pharmacy LLC
- Community/Retail Pharmacy
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- EASTLAND PHARMACY LLC
- Practice address
- 1301 Winchester Rd Ste 69
Lexington, KY 40505-4132 - Phone
- (859) 309-0960
- Fax
- (859) 309-0951
- NPI assigned
- Dec 29, 2021
- 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
- Joseph Stewart
- Title
- Owner
- Phone
- (859) 309-0960
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
1301 Winchester Rd Ste 69
Lexington, KY 40505-4132
Mailing address
5300 Raven Creek CT
Lexington, KY 40515-8518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100798680 | Medicaid | KY |
Other names 1
- Eastland 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 |
|---|---|---|---|---|
| O20231103003384 | KY | Part B Supplier - Pharmacy | 3971950551 | Practice locations: Lexington, KY |
National Provider Directory
National Provider Directory- Tax ID family
- Eastland Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lexington, KY
- NPI 1053027318
Locations
1301 Winchester Rd
Ste 69
Lexington, KY 40505
Phone (859) 309-0960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lexington, KY
- NPI 1669120531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1972263135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 RAVEN CREEK CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405158518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 WINCHESTER RD STE 69",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405054132",
"telephone_number": "859-309-0960",
"fax_number": "859-309-0951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTLAND PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-309-0960"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100798680",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastland Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eastland Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.