Pharm-Med Corporation

Primary specialty

PharmacistTaxonomy code 183500000X

License

KY08745 Issued in KY

Legal business name

PHARM-MED CORPORATION

Practice address

450 Southland Dr Ste a
Lexington, KY 40503-1831

Phone

(859) 278-7282

Fax

(859) 278-7299

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clarence F Sullivan III, PHARMDNPI 1821685835

Title

Doctor of Pharmacy

Phone

(859) 421-0639

Specialties & licenses 1

Addresses

Other names 1

• The Pharmacy Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarence Francis Sullivan III, PHARMD

  • Pharmacist
  • Lexington, KY
  • NPI 1821685835
  NPD Authorized official
• Amanda Moser, PHARMD

  • Pharmacist
  • Lexington, KY
  • NPI 1578324703
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1144435645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SOUTHLAND DR STE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031831",
            "telephone_number": "859-278-7282",
            "fax_number": "859-278-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SOUTHLAND DR STE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031831",
            "telephone_number": "859-278-7282",
            "fax_number": "859-278-7299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Southland Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031808",
            "country_code": "US",
            "telephone_number": "859-421-0639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHARM-MED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR OF PHARMACY",
        "authorized_official_telephone_number": "859-421-0639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "KY08745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy Shop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pharmacy Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charmaine Gilb Pfister
• Kendall Lee Pfister, APRN, DNP
• PGS Laboratory Services LLC
• Hahn X Pham, M.D.
• Virgina L Pharis, ARNP
• Pharmacists Clinics LLC
• Pharmacy Surge Unit #1
• Valerie D Phebus, PA
• Alexandria Phelps
• Jeremiah Phelps, MD PHD

• Pharmacist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.