Terradise Properties Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO6316 Issued in KY

Legal business name

TERRADISE PROPERTIES INC

Doing business as

Medicine Shoppe

Practice address

900 Hustonville Rd
Danville, KY 40422-2137

Phone

(859) 238-0002

Fax

(859) 936-2043

NPI assigned

Nov 15, 2006

Last updated

Aug 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doug Coyle, R.PH.

Title

Owner

Phone

(859) 238-0002

Specialties & licenses 4

Addresses

Other names 1

• MEDICINE SHOPPE Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Elizabeth Ann Coyle, RPH

  • Pharmacist
  • Danville, KY
  • NPI 1699351502
  NPD (past)
• Nina Crossley Whitehouse, PHARM.D.

  • Pharmacist
  • Danville, KY
  • NPI 1548509888
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1306918198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HUSTONVILLE RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HUSTONVILLE RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222137",
            "telephone_number": "859-238-0002",
            "fax_number": "859-936-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRADISE PROPERTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-238-0002",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "PO6316",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "PO6316",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO6316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy W Tarter, M.D.
• Antoinette Taylor, RPH
• Cloyde Penny Taylor, PHARMD
• Mark Allen Taylor, PHARMD, RPH
• Jennifer M Teel, MSW, CSW
• Boon Thanasack
• The James B. Haggin Memorial Hospital Inc (Ephraim McDowell Family and Internal Medicine)
• The James B. Haggin Memorial Hospital Inc (Ephraim McDowell Walk In and Primary Care)
• The Well Therapeutic Group, LLC
• Third Street Surgical Center

• Community/Retail Pharmacy in Danville, KY
• Providers in Danville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.