Bella Lasley LLC
Organization Active NPI Community/Retail Pharmacy · Pineville, KY
NPI 1982253613 · NPPES record last updated Jul 17, 2020
Key facts
- NPI
- 1982253613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BELLA LASLEY LLC
- Practice address
- 308 S Pine St
Pineville, KY 40977-1735 - Phone
- (606) 337-8300
- Fax
- (606) 337-8398
- NPI assigned
- Sep 5, 2019
- Organization subpart
- No
Authorized official
- Name
- Michael Andrew Schneider
- Title
- Owner
- Phone
- (606) 337-8300
Practitioners 1
-
Michael Andrew Schneider, PHARM.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200828000098 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789916099 | Practice locations: Pineville, KY |
| O20201012001785 | KY | Part B Supplier - Pharmacy | 4789916099 | Practice locations: Pineville, KY |
National Provider Directory
Locations
308 S Pine St
Pineville, KY 40977
Phone (606) 337-1444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
308 S Pine St
Pineville, KY 40977-1735
Mailing address
308 S Pine St
Pineville, KY 40977-1735
Phone (606) 337-8300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P08063 | Other | KY | STATE LICENSE NUMBER |
Other names
- Taylor Drug Store
Other providers in Pineville, KY
- Angela Reshai Barrett
- Bell Central School
- Bell County Health Department Inc.
- Bell County High School
- Bell County Schools
- Rebecca Jane Beverly
- Robert F Bond
- Broadway Clinic Pharmacy Inc
- Evan Brock
- Thomas Edward Busic
All providers in Pineville, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.