Afton Pharmacy Store
NPI 1104417112 · Pharmacist · Jeffersonville, IN
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Afton Pharmacy Store is a Pharmacist organization in Jeffersonville, IN (NPI 1104417112).
Provider details
- NPI number
- 1104417112
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Brenda Robertson, Manager(502) 724-2018
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2021-02-02
- Certified
- 2021-02-02
Frequently asked questions
- What is Afton Pharmacy Store's NPI number?
- Afton Pharmacy Store's National Provider Identifier (NPI) is 1104417112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Afton Pharmacy Store?
- Afton Pharmacy Store is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Afton Pharmacy Store located?
- Afton Pharmacy Store's practice location on file with NPPES is 1802 E 10th St, Jeffersonville, IN 47130-6016.
- What is Afton Pharmacy Store's phone number?
- The practice phone number listed in the NPPES registry for Afton Pharmacy Store is (502) 724-2018.
- Does Afton Pharmacy Store accept Medicare?
- Afton Pharmacy Store is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Afton Pharmacy Store?
- The authorized official listed on Afton Pharmacy Store's NPPES record is Brenda Robertson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Afton Pharmacy Store's NPI active?
- Yes — Afton Pharmacy Store's NPI (1104417112) is active in the NPPES registry as of the last update on 2021-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.