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KENTUCKY PHARMACY #1, LLC
NPI 1063897015
Pharmacy - Community/Retail Pharmacy in Shelbyville, KY

Active since July 20, 2015CLIA 18D2104308 · Waiver
182 FRANKFORT RD, SHELBYVILLE, KY 40065(502) 437-3008 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kentucky Pharmacy #1, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTUCKY PHARMACY #1, LLC (NPI 1063897015), doing business as Shelbyville Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Shelbyville, Kentucky and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Jason Elliott Underwood, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1063897015
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKENTUCKY PHARMACY #1, LLC
Location Address182 FRANKFORT RDShelbyville, KY 40065-9433
Mailing AddressPo Box 1248Shelbyville, KY 40066-1248 · (502) 437-3008 · Fax (502) 437-3607
Phone(502) 437-3008
Organization SubpartNo
Authorized OfficialJason Elliott UnderwoodSole Member · (502) 437-3008
Enumeration DateJuly 20, 2015
Last NPPES UpdateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
✔ NPI 1063897015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in KY · P07678
Definition
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.
182 FRANKFORT RD, Shelbyville, KY 40065
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Other Names 1

Doing Business AsShelbyville Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2104308

Kentucky Pharmacy 1 LLC Dba Shelbyville Pharmacy · Shelbyville, KY
Active · expires Nov 1, 2027
CLIA Number18D2104308
Laboratory TypePharmacy
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorJason Underwood
Laboratory Phone(502) 437-3008
Laboratory LocationKentucky Pharmacy 1 LLC Dba Shelbyville Pharmacy182 Frankfort Road, Shelbyville, KY 40065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
205 services205 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
185 services185 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
15 services15 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
15 services15 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENTUCKY PHARMACY #1, LLC
Pharmacy (Long Term Care Pharmacy)
182 FRANKFORT RD
SHELBYVILLE, KY 40065
Shelby County (502) 437-3008
JASON ELLIOTT UNDERWOOD PHARMD
Pharmacist
182 FRANKFORT RD
SHELBYVILLE, KY 40065
Shelby County (502) 437-3008
MATTHEW ALLEN ROBERTS RPH
Pharmacist
182 FRANKFORT RD
SHELBYVILLE, KY 40065
Shelby County (502) 437-3008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky Pharmacy #1, LLC's NPI number?

The NPI number for Kentucky Pharmacy #1, LLC is 1063897015. It was assigned to this organization in the NPPES registry on July 20, 2015. The provider is doing business as Shelbyville Pharmacy.

Where is Kentucky Pharmacy #1, LLC located?

Kentucky Pharmacy #1, LLC is located at 182 Frankfort Rd, Shelbyville, KY 40065. The listed phone number is (502) 437-3008.

What is Kentucky Pharmacy #1, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kentucky Pharmacy #1, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2104308) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kentucky Pharmacy #1, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Kentucky Pharmacy #1, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kentucky Pharmacy #1, LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.