Eastridge-phelps Pharmacy Llc
Community/Retail Pharmacy
101 Winston Way, Suite A, Campbellsville
Kentucky, 42718-4953
270-789-0577 270-789-0578
Eastridge-phelps Pharmacy Llc is a Community/Retail Pharmacy in Campbellsville, Kentucky. It is located at 101 Winston Way, Suite A, Campbellsville and it's customer support contact number is 270-789-0577. The authorized person of Eastridge-phelps Pharmacy Llc is Chad Phelps who is Pharmacist/pic/member of the pharmacy and his contact number is 270-789-0577. Active license number of Eastridge-phelps Pharmacy Llc is P07325 for Community/Retail Pharmacy in Kentucky. Eastridge-phelps Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Eastridge-phelps Pharmacy Llc 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:
Eastridge-phelps Pharmacy Llc 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: | Eastridge-phelps Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 101 Winston Way, Suite A, Campbellsville,
Kentucky, 42718-4953 |
| Phone: | 270-789-0577 |
| Fax: | 270-789-0578 |
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: | Chad Phelps |
| Position: | Pharmacist/pic/member |
| Contact Number: | 270-789-0577 |
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: | 1245478007 |
| NPI Enumeration Date: | 31 Jan, 2009 |
| NPI Last Update On: | 05 Mar, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastridge-phelps Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P07325 | Kentucky | Primary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 1831038 | Other | | Ncpdp Provider Identification Number |
| 7100060880 | Medicaid | Kentucky | |
Medicare Enrollment:
Eastridge-phelps Pharmacy Llc 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 |
| 5698807881 | O20100723000530 | Eastridge-phelps Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5698807881 | O20100930031997 | Eastridge-phelps Pharmacy Llc | DME SUPPLIER - PHARMACY |
Products Available:
Eastridge-phelps Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 101 Winston Way, Suite A
Campbellsville, Kentucky |
| Zip: | 42718-4953 |
| Phone Number: | 270-789-0577 |
| Fax Number: | 270-789-0578 |
Patients can reach Eastridge-phelps Pharmacy Llc at
101 Winston Way, Suite A, Campbellsville, Kentucky or can
call on customer care at 270-789-0577.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.