Healthcare Provider Details

I. General information

NPI: 1629464854
Provider Name (Legal Business Name): B&B PHARMACY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1578 HIGHWAY 44 E UNIT 1
SHEPHERDSVILLE KY
40165-7172
US

IV. Provider business mailing address

1578 HIGHWAY 44 E UNIT 1
SHEPHERDSVILLE KY
40165-7172
US

V. Phone/Fax

Practice location:
  • Phone: 502-543-8200
  • Fax: 502-543-8500
Mailing address:
  • Phone: 502-543-8200
  • Fax: 502-543-8500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07682
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN A BUCKMAN
Title or Position: PHARMACIST/OWNER
Credential: PHARMD
Phone: 502-543-8200