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Contact Information

FAMILY HEALTH CENTER PHARMACY
2215 PORTLAND AVE
LOUISVILLE, KY40212-1033
 Phone: 502-774-8631
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FAMILY HEALTH CENTER PHARMACY

NPI # 1982789459
LBN Legal business name FAMILY HEALTH CENTER PHARMACY
Authorized official SAMUEL RIDDICK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 05/07/2026 - About a month ago
Identifiers
KY Medicaid 54006044
Other 1810894 NCPDP
KY Other P01226 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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