Lake Cumberland Pharmacy #2

Community/Retail Pharmacy Accepts Medicare


  
  124 Dowell Rd, Russell Springs
Kentucky, 42642-4278

 270-866-2686    270-866-6566
Lake Cumberland Pharmacy #2 is a Community/Retail Pharmacy in Russell Springs, Kentucky. This pharmacy is owned and operated by Lake Cumberland Pharmacy Llc. It is located at 124 Dowell Rd, Russell Springs and it's customer support contact number is 270-866-2686. The authorized person of Lake Cumberland Pharmacy #2 is Jonathan Grider, PHARMD who is Managing Member of the pharmacy and his contact number is 270-858-6400. Active license number of Lake Cumberland Pharmacy #2 is P07440 for Community/Retail Pharmacy in Kentucky. Lake Cumberland Pharmacy #2 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lake Cumberland Pharmacy #2 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:
Lake Cumberland Pharmacy #2 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: Lake Cumberland Pharmacy #2
Type: Community/Retail Pharmacy
Location:124 Dowell Rd, Russell Springs,
Kentucky, 42642-4278
Phone:270-866-2686
Fax:270-866-6566
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: Jonathan Grider
Credentials: PHARMD
Position: Managing Member
Contact Number: 270-858-6400
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: 1912201906
NPI Enumeration Date: 05 Jan, 2011
NPI Last Update On: 07 Oct, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Cumberland Pharmacy #2 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy P07440KentuckyPrimary
Parenteral & Enteral Nutrition Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2128898OtherPk
7100171840MedicaidKentucky
Medicare Enrollment:
Lake Cumberland Pharmacy #2 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
6800047739O20121127000115Lake Cumberland Pharmacy, LlcDME SUPPLIER - PHARMACY
Products Available:
Lake Cumberland Pharmacy #2 has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Commodes, Urinals, & Bedpans
  • Diabetic Shoes & Inserts: Custom Fabricated
  • Diabetic Shoes & Inserts: Prefabricated
  • Enteral Equipment And/or Supplies
  • Enteral Nutrients
  • Heat & Cold Applications
  • Hospital Beds: Electric
  • Hospital Beds: Manual
  • Nebulizer Equipment & Supplies
  • Orthoses: Off-the-shelf
  • Orthoses: Prefabricated
  • Ostomy Supplies
  • Oxygen Equipment & Supplies
  • Patient Lifts
  • Respiratory Suction Pumps
  • Seat Lift Mechanisms
  • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads
  • Surgical Dressings
  • Traction Equipment
  • Transcutaneous Electrical Nerve Stimulators (tens) Units
  • Urological Supplies
  • Walkers
  • Wheelchair Seating/cushions
  • Wheelchairs & Accessories: Standard Manual
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: Po Box 72,
    Russell Springs, Kentucky
    Zip: 42642-0072
    Phone Number: 270-866-2686
    Fax Number: --
    Patients can reach Lake Cumberland Pharmacy #2 at 124 Dowell Rd, Russell Springs, Kentucky or can call on customer care at 270-866-2686.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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