Cvs Pharmacy #10200
LBN: Kentucky Cvs Pharmacy Llc
Cvs Pharmacy #10200 is an health care organization with primary practice located at 2169 Midland Trl , Shelbyville KY 40065-9163. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Kentucky Cvs Pharmacy Llc can be contacted via phone (502) 633-2115, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
2169 Midland Trl
Shelbyville KY 40065-9163
Phone: (502) 633-2115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1134475619 |
|---|---|
| LBN Legal business name | Kentucky Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy #10200 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2012 |
| Last updated | Jul 2nd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134475619 | NPPES |
| Kentucky | Other | 1833272 | NCPDP |
| Kentucky | MEDICAID | 7100231880 DME | NCPDP |
| Kentucky | MEDICAID | RX-7100225670 | NCPDP |
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