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MADISON SOUTH PHARMACY LLC NPI 1386890952


NPI Information

NPI: 1386890952
Provider Name: MADISON SOUTH PHARMACY LLC

Doing Business As: MADISON SOUTH PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
405 RICHMOND RD N
STE D
BEREA, KY
ZIP 40403
Phone: (859) 228-0010
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MADISON SOUTH PHARMACY LLC is a community/retail pharmacy pharmacy in Berea, KY. The provider is 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. MADISON SOUTH PHARMACY LLC NPI is 1386890952. The provider is registered as an organization entity type.
The provider Is Doing Business As Madison South Pharmacy.

The provider's business location address is:

405 RICHMOND RD N
STE D
BEREA, KY
ZIP 40403-083
Phone: (859) 228-0010
Fax: (859) 228-0014

The provider's authorized official is Eric Gibbs .
The authorized official title is Owner and has the following contact phone number (606) 258-0000.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 8/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyP07271KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11830808OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
26689080001MEDICARE NSCKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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