Provider Demographics
NPI:1003447897
Name:HOYT, JEREMY (PHARM D)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:HOYT
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 BUECHEL BYP
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-2270
Mailing Address - Country:US
Mailing Address - Phone:502-458-9511
Mailing Address - Fax:502-456-9285
Practice Address - Street 1:3616 BUECHEL BYP
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2270
Practice Address - Country:US
Practice Address - Phone:502-458-9511
Practice Address - Fax:502-456-9285
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0128941835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist