Nicholasville Pharmacy Services Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Nicholasville, KY
NPI 1609010404 · NPPES record last updated Nov 15, 2011
Key facts
- NPI
- 1609010404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- NICHOLASVILLE PHARMACY SERVICES INC
- Practice address
- 465 Keene Centre Drive
Nicholasville, KY 40356-0000 - Phone
- (859) 887-2841
- Fax
- (859) 887-1340
- NPI assigned
- Apr 23, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- NICHOLASVILLE PHARMACY SERVICES INC
Authorized official
- Name
- Glenn Downs
- Title
- Owner
- Phone
- (859) 887-2841
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930063380 | KY | DME Supplier - Pharmacy |
7113059445 |
1 other NPI on this enrollment Practice locations: Nicholasville, KY |
National Provider Directory
- Tax ID family
- Nicholasville Pharmacy Serv
- Part of
- Nicholasville Pharmacy Serv
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
465 Keene Centre Drive
Nicholasville, KY 40356-0000
Mailing address
465 Keene Centre Drive
Nicholasville, KY 40356-0000
Phone (859) 887-2841
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90010570 | Medicaid | KY |
Other names
- The Prescription Pad
Other providers in Nicholasville, KY
- Nicholasville Family Chiropractic, LLC
- Nicholasville Nursing and Rehabilitation LLC
- Nicholasville Pharmacist Group
- Nicholasville Pharmacist Group
- Nicholasville Pharmacy Services Inc
- Nicholasville Pharmacy Services Inc
- Donna Darlene Nichols
- Margaret Mary Noe Renaud
- Hannah Elizabeth Noger
- Kathryn Ann Nord
All providers in Nicholasville, KY · Durable Medical Equipment & Medical Supplies in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.