Organization Active NPI

Eastland Pharmacy LLC

  • Community/Retail Pharmacy
  • Lexington, KY
National Provider Identifier
1972263135
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Joseph StewartNPI 1669120531
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100798680MedicaidKY

Other names 1

  • Eastland Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231103003384 KY Part B Supplier - Pharmacy 3971950551 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory
Tax ID family
Eastland Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.