Healthcare Provider Details

I. General information

NPI: 1942127543
Provider Name (Legal Business Name): BETHANY ORR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 PAUL JONES WAY STE 100
LEXINGTON KY
40509-2220
US

IV. Provider business mailing address

2155 PAUL JONES WAY STE 100
LEXINGTON KY
40509-2220
US

V. Phone/Fax

Practice location:
  • Phone: 859-264-3010
  • Fax: 859-264-3065
Mailing address:
  • Phone: 859-264-3010
  • Fax: 859-264-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025846
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: