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Export Provider Record NPI 1073288544
Eastridge-Phelps Pharmacy Llc
Organization Subpart: YES
Active
NPI Number1073288544
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Long Term Care Pharmacy
Provider Details
NPI1073288544
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2021-08-16
Last Updated2021-08-16
Authorized OfficialChad Phelps
Owner/Operator
Phone: 2702992333
Mailing Address500 N Bypass Rd
Campbellsville, KY 42718-7792
United States
Phone: (270) 789-0577 | Fax: (270) 789-0578
📍 View Map
Primary Practice Address500 N Bypass Rd
Campbellsville, KY 42718-7792
United States
Phone: (270) 789-0577 | Fax: (270) 789-0578
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336L0003X – Pharmacy, Long Term Care Pharmacy
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About NPI 1073288544

Eastridge-Phelps Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073288544. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Campbellsville, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-08-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073288544?

NPI 1073288544 belongs to Eastridge-Phelps Pharmacy Llc, a Pharmacy, Long Term Care Pharmacy in Campbellsville, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073288544 active?

The current status of NPI 1073288544 in the NPPES registry is Active. The record was last updated on 2021-08-16.

What specialty is NPI 1073288544?

NPI 1073288544 is classified under the taxonomy Pharmacy, Long Term Care Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073288544?

You can verify NPI 1073288544 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073288544?

The primary practice address on file for NPI 1073288544 is 500 N Bypass Rd, Campbellsville, KY 42718-7792. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073288544 issued?

NPI 1073288544 was first issued (enumerated) on 2021-08-16. The NPPES record was last updated on 2021-08-16.

Practice Location Map

Eastridge-Phelps Pharmacy Llc is located at 500 N Bypass Rd, Campbellsville, KY. Use the map below to find directions or verify the practice location.

📍 500 N Bypass Rd, Campbellsville, KY 42718-7792  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Eastridge-Phelps Pharmacy Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162