JENCARE NEIGHBORHOOD MEDICAL CENTER SHIVLEY, LLC
NPI 1083197388
Pharmacy - Community/Retail Pharmacy in Louisville, KY

Q: What is Pmr Ky Holding, LLC's NPI number?

The NPI number for Pmr Ky Holding, LLC is 1083197388. It was assigned to this organization in the NPPES registry on September 12, 2018. The provider is doing business as Jencare Neighborhood Medical Center Shivley, LLC.

Q: What is Pmr Ky Holding, LLC's specialty?

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

Active since September 12, 2018CLIA Certified · 4 labs

3939 7TH STREET RD, LOUISVILLE, KY 40216(502) 775-1211(502) 775-1221 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Dec 23, 2020, Sep 12, 2018 (3 updates tracked since 2018).

On this page

About Jencare Neighborhood Medical Center Shivley, Llc NPPES

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

JENCARE NEIGHBORHOOD MEDICAL CENTER SHIVLEY, LLC (NPI 1083197388) is a healthcare organization registered as a community/retail pharmacy in Louisville, Kentucky and active in the NPI registry since September 2018. The organization holds 4 active CLIA laboratory certificates and lists Mary Chen, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1083197388

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePMR KY HOLDING, LLC

Location Address3939 7TH STREET RDLouisville, KY 40216-4103

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117

Phone(502) 775-1211

Fax(502) 775-1221

Organization SubpartYes

Authorized OfficialMary ChenExecutive Officer · (305) 628-6117

Enumeration DateSeptember 12, 2018

Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1083197388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

3939 7TH STREET RD, Louisville, KY 40216

Open in Google Maps ↗

Other Names 1

Doing Business AsJencare Neighborhood Medical Center Shivley, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 4

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 14D2060877

Jencare Neighborhood Med Ctr - Berwyn L L C · Berwyn, IL

Active · expires Jun 18, 2027

CLIA Number14D2060877

Laboratory TypePhysician Office

Certificate Effective DateJune 19, 2025

Certificate Expiration DateJune 18, 2027

Laboratory DirectorGordon L. Chen

Laboratory Phone(305) 628-6117

Laboratory LocationJencare Neighborhood Med Ctr - Berwyn L L C6326 Cermak Rd, Berwyn, IL 60402

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2060340

Jencare Neighborhood Medical Ctr East Point, LLC · East Point, GA

Active · expires Jun 10, 2027

CLIA Number11D2060340

Laboratory TypePhysician Office

Certificate Effective DateJune 11, 2025

Certificate Expiration DateJune 10, 2027

Laboratory DirectorMr. Gordon L. Chen

Laboratory Phone(305) 628-6117

Laboratory LocationJencare Neighborhood Medical Ctr East Point, LLC2084 Headland Drive, East Point, GA 30344

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2057802

Jencare Neighborhood Medical Ctr West End, LLC · Atlanta, GA

Active · expires Apr 23, 2027

CLIA Number11D2057802

Laboratory TypePhysician Office

Certificate Effective DateApril 24, 2025

Certificate Expiration DateApril 23, 2027

Laboratory DirectorMr. Gordon L. Chen

Laboratory Phone(305) 628-6117

Laboratory LocationJencare Neighborhood Medical Ctr West End, LLC1325 Ralph David Abernathy Blvd, SW, Atlanta, GA 30310

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2051997

Jencare Neighborhood Med Ctr - S Chicago · Chicago, IL

Active · expires Jan 2, 2027

CLIA Number14D2051997

Laboratory TypePhysician Office

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorGordon L. Chen M D

Laboratory Phone(305) 628-6117

Laboratory LocationJencare Neighborhood Med Ctr - S Chicago2231 E 95th St, Chicago, IL 60617

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Leave this field empty

Other Providers at the Same Location NPPES 9

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

KAREN LOUISE WILSMAN AGNP

Nurse Practitioner (Primary Care)