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LAKE CUMBERLAND PHARMACY
NPI 1912217589
Pharmacy - Community/Retail Pharmacy in Russell Springs, KY

Active since October 18, 2010
2431C LAKEWAY DR, RUSSELL SPRINGS, KY 42642(270) 858-6400(270) 866-7542 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 14, 2024, Feb 20, 2017 (2 updates tracked since 2017).

About Lake Cumberland Pharmacy NPPES

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

LAKE CUMBERLAND PHARMACY (NPI 1912217589) is a healthcare organization registered as a community/retail pharmacy in Russell Springs, Kentucky and active in the NPI registry since October 2010. The organization lists Jonathan Gider, Pharmacist-in-charge, as its authorized official.

NPPES Registry Identity

NPI1912217589
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLAKE CUMBERLAND PHARMACY LLC
Location Address2431C LAKEWAY DRRussell Springs, KY 42642-4510
Mailing AddressPo Box 72Russell Springs, KY 42642-0072 · (270) 585-2221
Phone(270) 858-6400
Fax(270) 866-7542
Organization SubpartNo
Authorized OfficialJonathan GiderPharmacist-in-charge · (270) 585-2221
Enumeration DateOctober 18, 2010
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1912217589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in KY · P07417
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 ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
2431C LAKEWAY DR, Russell Springs, KY 42642
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Other Names 1

Doing Business AsLake Cumberland Pharmacy

Other Identifiers 2

Medicaid7100146780KY
Other2127210Pk

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 ›

Areas of Expertise CMS Part B claims 2

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.
16 services16 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

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 Lake Cumberland Pharmacy LLC's NPI number?

The NPI number for Lake Cumberland Pharmacy LLC is 1912217589. It was assigned to this organization in the NPPES registry on October 18, 2010. The provider is doing business as Lake Cumberland Pharmacy.

Where is Lake Cumberland Pharmacy LLC located?

Lake Cumberland Pharmacy LLC is located at 2431C Lakeway Dr, Russell Springs, KY 42642. The listed phone number is (270) 858-6400.

What is Lake Cumberland Pharmacy LLC's specialty?

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

What insurance does Lake Cumberland Pharmacy 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 48 other insurers list Lake Cumberland 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 Lake Cumberland Pharmacy LLC was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.