Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kentucky Cvs Pharmacy, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1053415901

Kentucky Cvs Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Paducah, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3001 Lone Oak Rd
Paducah, KY 42003-5721
Phone: (505) 554-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PO6466 (KY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1053415901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director · (401) 770-2751
Other names Cvs Pharmacy # 02586
NPI enumeratedSeptember 12, 2006
Last updated in NPPESApril 19, 2012
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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