Organization Active NPI

Medi Center Drugs, Inc.

  • Pharmacy
  • Manchester, KY
National Provider Identifier
1053428003
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1820085 Issued in KY
Legal business name
MEDI CENTER DRUGS, INC.
Practice address
509 Memorial Dr
Ste 1
Manchester, KY 40962-6195
Phone
(606) 598-7933
Fax
(606) 599-9623
NPI assigned
Aug 24, 2006
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles Terry Tenhet, RPHNPI 1760557557
Title
Pharmacist Owner
Phone
(606) 598-7933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 90050261 KY
Pharmacy 333600000X 1820085 KY Primary

Addresses

Primary practice location

509 Memorial Dr
Ste 1
Manchester, KY 40962-6195

Mailing address

509 Memorial Dr
Ste 1
Manchester, KY 40962-6195
Phone (606) 598-7933

Other identifiers 3

IdentifierTypeStateIssuer
1820085OtherNABP #
54024625MedicaidKY
90050261OtherKYSUPPLIER #

National Provider Directory

National Provider Directory

Locations

509 Memorial Dr
Ste 1
Manchester, KY 40962
Phone (606) 436-2407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1053428003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR",
            "address_2": "STE 1",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626195",
            "telephone_number": "606-598-7933",
            "fax_number": "606-598-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR",
            "address_2": "STE 1",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626195",
            "telephone_number": "606-598-7933",
            "fax_number": "606-599-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI CENTER DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "TENHET",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "606-598-7933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "90050261",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "1820085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "1820085",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54024625",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER #",
            "identifier": "90050261",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.