Organization Active NPI

Medicine Shoppe Long Term Care

  • Long Term Care Pharmacy
  • Somerset, KY
National Provider Identifier
1376833970
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
P07448 Issued in KY
Legal business name
MEDICINE SHOPPE LONG TERM CARE
Practice address
900 E Mount Vernon St Unit B
Somerset, KY 42501-1228
Phone
(606) 679-9227
Fax
(606) 679-1358
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Saibabu Appalaneni
Title
Owner
Phone
(606) 679-9227

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X P07448 KY Primary

Addresses

Primary practice location

900 E Mount Vernon St Unit B
Somerset, KY 42501-1228

Mailing address

900 E Mount Vernon St
Unit B
Somerset, KY 42501-1228
Phone (606) 679-9227

Other identifiers 1

IdentifierTypeStateIssuer
2130183OtherPK

Other names 1

  • MEDICINE SHOPPE LONG TERM CARE Doing business as

National Provider Directory

National Provider Directory

Locations

900 E Mount Vernon St
Unit B
Somerset, KY 42501
Phone (606) 679-9227

Practitioners & affiliated clinicians

Practitioners 1

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": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1376833970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MOUNT VERNON ST",
            "address_2": "UNIT B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011228",
            "telephone_number": "606-679-9227",
            "fax_number": "606-679-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MOUNT VERNON ST UNIT B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011228",
            "telephone_number": "606-679-9227",
            "fax_number": "606-679-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "APPALANENI",
        "authorized_official_first_name": "SAIBABU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-679-9227"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P07448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130183",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE LONG TERM CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.