Individual provider Active NPI

Kimberly Mitchell Caudill, RPH

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1992971386
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
012381 Issued in KY
Practice address
200 N Hurstbourne Pkwy Ste 176
Louisville, KY 40222-5138
Phone
(844) 690-4462
Fax
(844) 524-4673
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 012381 KY Primary

Addresses

Primary practice location

200 N Hurstbourne Pkwy Ste 176
Louisville, KY 40222-5138

Mailing address

200 N Hurstbourne Pkwy Ste 176
Louisville, KY 40222-5138
Phone (844) 690-4462

Other practice location 1

200 N Hurstbourne Pkwy Ste 176
Louisville, KY 40222-5138
Phone (502) 690-4462

Other names 1

  • Kimberly Faith Mitchell Former name

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
012381KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St Matthews Specialty Pharmacy LLC PastSince Jun 1, 2022 Accepting new patients
St Matthews Specialty Pharmacy LLC PastSince Feb 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1992971386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N HURSTBOURNE PKWY STE 176",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225138",
            "telephone_number": "844-690-4462",
            "fax_number": "844-524-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HURSTBOURNE PKWY STE 176",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225138",
            "telephone_number": "844-690-4462",
            "fax_number": "844-524-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Hurstbourne Pkwy Ste 176",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225138",
            "country_code": "US",
            "telephone_number": "502-690-4462",
            "fax_number": "502-690-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "KIMBERLY",
        "middle_name": "MITCHELL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "012381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MITCHELL",
            "middle_name": "FAITH",
            "credential": "PHARMD, RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 31, 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.

Verify at the official NPI Registry.