MEDICARE: PUCKETT ULLOM INC

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	333600000X	Pharmacy	PO6088	KY
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1802241	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437246626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUCKETT ULLOM INC

Provider Business Mailing Address
First Line	:	3501 POPLAR LEVEL RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40213-1009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 POPLAR LEVEL RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40213-1009
Country	:	US
Telephone Number	:	502-458-3229
Fax Number	:	502-452-6371

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN ULLOM
Credential	:	RPH
Telephone Number	:	502-458-3229

Provider Enumeration Date	:	10/07/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1346246873 — KENNETH HERBERT RICHMOND M.D.
Practice Location Address:

3515 POPLAR LEVEL RD
LOUISVILLE, KY
40213-1009

Practice Phone: 502-459-3760
Practice Fax: 502-459-3717

1710983267 — GREGORY M ABBAS M.D.
Practice Location Address:

3515 POPLAR LEVEL RD
LOUISVILLE, KY
40213-1009

Practice Phone: 502-459-3760
Practice Fax: 502-459-3717

1306955570 — STEPHEN BENTLEY PHD, LPCC
Practice Location Address:

3509 POPLAR LEVEL RD # B
LOUISVILLE, KY
40213-1009

Practice Phone: 502-456-9998
Practice Fax: 502-456-9923

1558464628 — BRENDA DREXLER LCSW
Practice Location Address:

3509 POPLAR LEVEL RD # B
LOUISVILLE, KY
40213-1009

Practice Phone: 502-456-9998
Practice Fax: 502-456-9923

1306943147 — AUDUBON PHARMACY INC
Practice Location Address:

3503 POPLAR LEVEL RD
LOUISVILLE, KY
40213-1009

Practice Phone: 502-371-1002
Practice Fax: 502-371-1005

1427368588 — LESLIE NUSSBAUM
Practice Location Address:

3503 POPLAR LEVEL RD
LOUISVILLE, KY
40213-1009

Practice Phone: 502-589-8600
Practice Fax: 502-589-8771

Directions to “PUCKETT ULLOM INC ” 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.