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 1174711493

Kentucky Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Owensboro, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
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

1221 Frederica St
Owensboro, KY 42301
Phone: (270) 683-5086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1174711493
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy # 07940; Cvs Pharmacy # 07940
NPI enumeratedOctober 11, 2007
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023
Mailing addressOne Cvs Drive, Box 1075 - Pharmacy Enrollments, Woonsocket, RI 02895

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