Active NPI
Family Health Center Pharmacy
- Community/Retail Pharmacy
- Louisville, KY
National Provider Identifier
1982789459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FAMILY HEALTH CENTER PHARMACY
- Practice address
- 2215 Portland Ave
Louisville, KY 40212-1033 - Phone
- (502) 774-8631
- NPI assigned
- Oct 25, 2006
- 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
- Samuel Riddick
- Title
- Ceo
- Phone
- (502) 774-8631
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2215 Portland Ave
Louisville, KY 40212-1033
Mailing address
PO Box 950244
Louisville, KY 40295-0244
Phone (502) 774-8631
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1810894 | Other | NCPDP | |
| P01226 | Other | KY | STATE LICENSE |
| 54006044 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Family Health Centers Inc
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic Pharmacy
- Louisville, KY
- NPI 1477506202
-
- Community/Retail Pharmacy
- Louisville, KY
- NPI 1245688035
-
- Community/Retail Pharmacy
- Louisville, KY
- NPI 1285043935
-
- Community/Retail Pharmacy
- Louisville, KY
- NPI 1477201879
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1053142406
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1942954441
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1134172489
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1164356861
-
- Pharmacy
- Louisville, KY
- NPI 1205605979
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1205889540
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1356394670
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1427574862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1982789459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950244",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950244",
"telephone_number": "502-774-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 PORTLAND AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402121033",
"telephone_number": "502-774-8631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH CENTER PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "RIDDICK",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "502-774-8631"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1810894",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "P01226",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54006044",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
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 May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.