Lake Cumberland Pharmacy Llc is an authorized DME supplier for medicare equipments and products.
Lake Cumberland Pharmacy Llc is a Community/Retail Pharmacy in Russell Springs, Kentucky. 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 Llc 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 Llc is P07440 for Community/Retail Pharmacy in Kentucky. Lake Cumberland Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Lake Cumberland 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:
Lake Cumberland 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:
Lake Cumberland Pharmacy Llc
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 Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
P07440
Kentucky
Primary
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.
Identifier
Type
State
Issuer
2128898
Other
Pk
7100171840
Medicaid
Kentucky
Medicare Enrollment:
Lake Cumberland 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
6800047739
O20121127000115
Lake Cumberland Pharmacy, Llc
DME SUPPLIER - PHARMACY
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:
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Patients can reach Lake Cumberland Pharmacy Llc 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 14 April, 2025.
Other Pharmacies in Russell Springs, Kentucky
Grider Drug Llc Address: 2431b Lakeway Dr, Russell Springs, KY Phone: 270-866-7541 Grider Drug #1 Llc Address: 539 Main St, Russell Springs, KY Phone: 270-866-6477 Fax: 270-866-5307Kroger Limited Partnership I Address: 181 S Highway 127, Russell Springs, KY Phone: 270-866-3223 Fax: 270-866-3124Walgreen Co Address: 508 Steve Dr, Russell Springs, KY Phone: 270-866-2226 Fax: 270-866-6634Russell Springs Pharmacy Address: 92 Joe T Petty Dr, Ste 100, Russell Springs, KY Phone: 270-866-2778 Fax: 270-866-2779