Organization Active NPI

Medcare Inc

Doing business as MedCare Pharmacy & Home Medical

  • Community/Retail Pharmacy
  • Wickliffe, KY
National Provider Identifier
1295749794
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06419 Issued in KY
Legal business name
MEDCARE INC
Doing business as
MedCare Pharmacy & Home Medical
Practice address
409 Court St
Wickliffe, KY 42087-0248
Phone
(270) 335-3172
Fax
(270) 335-3339
NPI assigned
Jul 28, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Frances Sherrill, RPH
Title
Owner/President
Phone
(270) 335-3172

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P06419 KY Primary

Addresses

Primary practice location

409 Court St
Wickliffe, KY 42087-0248

Mailing address

PO Box 248
Wickliffe, KY 42087-0248
Phone (270) 335-3172

Other identifiers 2

IdentifierTypeStateIssuer
1812886OtherNCPDP PROVIDER IDENTIFICATION NUMBER
54014402MedicaidKY

Other names 1

  • MedCare Pharmacy & Home Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1295749794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "WICKLIFFE",
            "state": "KY",
            "postal_code": "420870248",
            "telephone_number": "270-335-3172",
            "fax_number": "270-335-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 COURT ST",
            "city": "WICKLIFFE",
            "state": "KY",
            "postal_code": "420870248",
            "telephone_number": "270-335-3172",
            "fax_number": "270-335-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "270-335-3172",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1812886",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54014402",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare Pharmacy & Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wickliffe, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.