Active NPI
Erik T Mayes
- Pharmacist
- Louisville, KY
National Provider Identifier
1982926143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012704
- Practice address
- 3930 Dupont Cir Ste 1
Louisville, KY 40207-4806 - Phone
- (502) 894-4464
- Fax
- (502) 636-8078
- NPI assigned
- Feb 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17252 | NC | |
| Pharmacist | 183500000X | 012704 | KY | Primary |
Addresses
Primary practice location
3930 Dupont Cir Ste 1
Louisville, KY 40207-4806
Mailing address
3930 Dupont Cir Ste 1
Louisville, KY 40207-4806
Phone (502) 894-4464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012704 | Other | KY | KENTUCKY PHARMACY LICENSE |
| 17252 | Other | NC | NORTH CAROLINA PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012704 | KY | MD | Pharmacist |
| 17252 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VP Pharmacy Partners LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1982926143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 DUPONT CIR STE 1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074806",
"telephone_number": "502-894-4464",
"fax_number": "502-636-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 DUPONT CIR STE 1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074806",
"telephone_number": "502-894-4464",
"fax_number": "502-636-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "ERIK",
"middle_name": "T",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-15",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17252",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY PHARMACY LICENSE",
"identifier": "012704",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA PHARMACY LICENSE",
"identifier": "17252",
"state": "NC"
}
],
"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 Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.