MEDICARE: H AND E CORP

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	PO6456	KY
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1825667	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922197607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H AND E CORP

Provider Business Mailing Address
First Line	:	1200 S 28TH ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40211-3402
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 S 28TH ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40211-3402
Country	:	US
Telephone Number	:	502-772-2299
Fax Number	:	502-772-9919

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELIS ESTEPHENE
Credential	:
Telephone Number	:	502-712-2299

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	09/11/2025

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Directions to “H AND E CORP ” Practice Location

Language	Start Address	Practice Location

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