Provider Demographics
NPI:1497097745
Name:AP PHARMACY LLC
Entity Type:Organization
Organization Name:AP PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BIJALKUMAR
Authorized Official - Middle Name:JAYANTILAL
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-940-2950
Mailing Address - Street 1:1502 OXFORD DR STE 150
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8095
Mailing Address - Country:US
Mailing Address - Phone:502-863-3784
Mailing Address - Fax:502-863-3789
Practice Address - Street 1:1502 OXFORD DR
Practice Address - Street 2:SUIT - 150
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8094
Practice Address - Country:US
Practice Address - Phone:502-863-3784
Practice Address - Fax:502-863-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
KYP07570333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1833614OtherNCPDP PROVIDER IDENTIFICATION NUMBER
KY7100244060Medicaid
KY6822110001Medicare NSC