Organization Active NPI

S.E.W. Enterprises, Inc.

  • Community/Retail Pharmacy
  • Mayfield, KY
National Provider Identifier
1316982010
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07701 Issued in KY
Legal business name
S.E.W. ENTERPRISES, INC.
Practice address
1520 Cuba Rd
Mayfield, KY 42066-6809
Phone
(270) 247-3345
Fax
(270) 247-1344
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. Mykel TidwellNPI 1063782399
Title
President
Phone
(270) 247-3345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P07701 KY Primary
Long Term Care Pharmacy 3336L0003X P07700 KY
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1520 Cuba Rd
Mayfield, KY 42066-6809

Mailing address

1520 Cuba Rd
Mayfield, KY 42066-6809
Phone (270) 247-3345

Other names 1

  • Duncan Prescription Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930090286 KY DME Supplier - Pharmacy 8729134218 Practice locations: Mayfield, KY
O20151027002546 KY Part B Supplier - Mass Immunization (Roster Biller Only) 8729134218 Practice locations: Mayfield, KY

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Duncan Prescription Center1520 Cuba Rd, Mayfield, KY 42066-6809(270) 247-3345 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jul 1, 2015

National Provider Directory

National Provider Directory

Locations

315 W Broadway
Mayfield, KY 42066
Phone (270) 247-3345

1520 Cuba Rd
Mayfield, KY 42066
Phone (270) 247-3111

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1316982010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 CUBA RD",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420666809",
            "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": "1520 CUBA RD",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420666809",
            "telephone_number": "270-247-3345",
            "fax_number": "270-247-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.E.W. ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "MYKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-247-3345",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07701",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P07700",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 4, 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.