MEDICARE: KENTUCKY CVS PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	P07741	KY
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2034083	OTHER		PK

General Provider Information

NPI Number	:	1891717534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENTUCKY CVS PHARMACY LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	7311 JEFFERSON BLVD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40219-6178
Country	:	US
Telephone Number	:	502-968-9256
Fax Number	:	502-968-9256

Authorized Official
Title or Position	:	SR. DIRECTOR, PAYER RELATIONS
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	10/31/2016

Similar Medicare Providers

1114177979 — KENTUCKIANA FOOT & ANKLE PLLC
Practice Location Address:

7397 JEFFERSON BLVD
LOUISVILLE, KY
40219-6178

Practice Phone: 502-805-3338
Practice Fax: 502-805-7149

1841584877 — STACY ALEXANDER
Practice Location Address:

7311 JEFFERSON BLVD , T1513
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-9256
Practice Fax: 502-968-9256

1043507098 — MR. JOHN W REED JR. R. PH.
Practice Location Address:

7311 JEFFERSON BLVD , T-1513
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-9256
Practice Fax: 502-968-9256

1770820680 — KENTUCKIANA FOOT & ANKLE, PLLC
Practice Location Address:

7397 JEFFERSON BLVD
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-2233
Practice Fax:

1275923823 — KATHERINE L PERRY CPHT
Practice Location Address:

7311 JEFFERSON BLVD
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-9256
Practice Fax: 502-653-6759

1871196253 — DR. AMY CHRISTINE KENDALL PHARMD
Practice Location Address:

7311 JEFFERSON BLVD
LOUISVILLE, KY
40219-6178

Practice Phone: 502-968-9256
Practice Fax: 502-653-6759

Directions to “KENTUCKY CVS PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.