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EASTRIDGE-PHELPS PHARMACY LLC
NPI 1073288544
Pharmacy - Long Term Care Pharmacy in Campbellsville, KY

Active since August 16, 2021CLIA Certified · 2 labs
500 N BYPASS RD, CAMPBELLSVILLE, KY 42718(270) 789-0577(270) 789-0578 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastridge-phelps Pharmacy Llc NPPES

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

EASTRIDGE-PHELPS PHARMACY LLC (NPI 1073288544), doing business as Eastridge-phelps Pharmacy, Campbellsville, is a healthcare organization registered as a long term care pharmacy in Campbellsville, Kentucky and active in the NPI registry since August 2021. The organization holds 2 active CLIA laboratory certificates and lists Chad W. Phelps, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1073288544
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameEASTRIDGE-PHELPS PHARMACY LLC
Location Address500 N BYPASS RDCampbellsville, KY 42718-7792
Mailing Address500 N Bypass RdCampbellsville, KY 42718-7792 · (270) 789-0577 · Fax (270) 789-0578
Phone(270) 789-0577
Fax(270) 789-0578
Organization SubpartYesParent: Eastridge-phelps Pharmacy, Llc
Authorized OfficialChad W. PhelpsOwner/operator · (270) 299-2333
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1073288544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

500 N BYPASS RD, Campbellsville, KY 42718
Open in Google Maps ↗

Other Names 1

Doing Business AsEastridge-phelps Pharmacy, Campbellsville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Kansas City, HealthPartners and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 18D2163165

Eastridge-Phelps Pharmacy · Campbellsville, KY
Active · expires Mar 7, 2027
CLIA Number18D2163165
Laboratory TypePharmacy
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorMr. Jay Eastridge
Laboratory Phone(270) 789-0577
Laboratory LocationEastridge-Phelps Pharmacy500 N Bypass, Campbellsville, KY 42718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2163164

Eastridge - Phelps Pharmacy · Greensburg, KY
Active · expires Mar 7, 2027
CLIA Number18D2163164
Laboratory TypePharmacy
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorMr. Chad Phelps
Laboratory Phone(270) 299-2333
Laboratory LocationEastridge - Phelps Pharmacy460 Commerce Drive, Greensburg, KY 42743
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Eastridge-Phelps Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Eastridge-Phelps Pharmacy LLC

DMEPOS supplier · Campbellsville, KY
✔

Accepts Medicare assignment

Eastridge-Phelps Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20550761
Medicare Participant SinceAugust 31, 2009
Supplier Location500 N Bypass RdCampbellsville, KY 42718
Phone(270) 789-0577
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

DR. EVELYN COLE SMITH PHARM.D.
Pharmacist
500 N BYPASS RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0577
DR. JOHN R EASTRIDGE PHARM.D.
Pharmacist
500 N BYPASS RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0577

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 Eastridge-Phelps Pharmacy LLC's NPI number?

The NPI number for Eastridge-Phelps Pharmacy LLC is 1073288544. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as Eastridge-Phelps Pharmacy, Campbellsville.

Where is Eastridge-Phelps Pharmacy LLC located?

Eastridge-Phelps Pharmacy LLC is located at 500 N Bypass Rd, Campbellsville, KY 42718. The listed phone number is (270) 789-0577.

What is Eastridge-Phelps Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Eastridge-Phelps Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eastridge-Phelps Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Eastridge-Phelps Pharmacy LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Eastridge-Phelps Pharmacy LLC accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Kansas City, HealthPartners, Medica and Sanford Health Plan and 1 other insurer list Eastridge-Phelps Pharmacy 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 Eastridge-Phelps Pharmacy LLC was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.