Audubon Pharmacy Inc
Community/Retail Pharmacy
3503 Poplar Level Rd, Louisville
Kentucky, 40213-1009
502-371-1002 502-371-1005
Audubon Pharmacy Inc is a Community/Retail Pharmacy in Louisville, Kentucky. It is located at 3503 Poplar Level Rd, Louisville and it's customer support contact number is 502-371-1002. The authorized person of Audubon Pharmacy Inc is Traci Ullom, RPH who is Owner of the pharmacy and his contact number is 502-371-1002. Active license number of Audubon Pharmacy Inc is P07058 for Community/Retail Pharmacy in Kentucky. Audubon Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Audubon Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Audubon Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Audubon Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 3503 Poplar Level Rd, Louisville,
Kentucky, 40213-1009 |
| Phone: | 502-371-1002 |
| Fax: | 502-371-1005 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Traci Ullom |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 502-371-1002 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1306943147 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 29 Dec, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Audubon Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P07058 | Kentucky | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2034337 | Other | | Pk |
| 54011911 | Medicaid | Kentucky | |
Medicare Enrollment:
Audubon Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8325249873 | O20100930061037 | Audubon Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Audubon Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3503 Poplar Level Rd,
Louisville, Kentucky |
| Zip: | 40213-1009 |
| Phone Number: | 502-371-1002 |
| Fax Number: | 502-371-1005 |
Patients can reach Audubon Pharmacy Inc at
3503 Poplar Level Rd, Louisville, Kentucky or can
call on customer care at 502-371-1002.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.