Active NPI
S.E.W. Enterprises, Inc.
- Specialty Pharmacy
- Mayfield, KY
National Provider Identifier
1043668841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- S.E.W. ENTERPRISES, INC.
- Practice address
- 317 W Broadway
Mayfield, KY 42066-2231 - Phone
- (270) 247-3345
- Fax
- (270) 247-1344
- NPI assigned
- Jun 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andy Hayden
- Title
- President
- Phone
- (270) 247-3345
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
317 W Broadway
Mayfield, KY 42066-2231
Mailing address
317 W Broadway
Mayfield, KY 42066-2231
Phone (270) 247-3345
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0444294 | Medicaid | NJ | |
| 100030048 | Medicaid | WI | |
| 200592576 | Medicaid | TN | |
| 200974780 | Medicaid | IN | |
| 600006911 | Medicaid | MO | |
| 0104385 | Medicaid | OH | |
| 200331440A | Medicaid | OK | |
| 54029434 | Medicaid | KY |
Other names 1
- DUNCAN PRESCRIPTION CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Duncan Clinic Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Mayfield, KY
- NPI 1336284421
-
- Specialty Pharmacy
- Mayfield, KY
- NPI 1730320326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464825600000",
"number": "1043668841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 W BROADWAY",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420662231",
"telephone_number": "270-247-3345",
"fax_number": "270-247-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W BROADWAY",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420662231",
"telephone_number": "270-247-3345",
"fax_number": "270-247-1344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S.E.W. ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A",
"authorized_official_last_name": "HAYDEN",
"authorized_official_first_name": "ANDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-247-3345",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0444294",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100030048",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200592576",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200974780",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600006911",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104385",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200331440A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54029434",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DUNCAN PRESCRIPTION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.