Organization Active NPI

Medicine Shoppe of Somerset Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Somerset, KY
National Provider Identifier
1700970118
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01578 Issued in KY
Legal business name
MEDICINE SHOPPE OF SOMERSET INC
Doing business as
Medicine Shoppe
Practice address
900 E Mount Vernon St
Somerset, KY 42501-1228
Phone
(606) 679-9227
Fax
(606) 679-1358
NPI assigned
Oct 3, 2006
Last updated
Mar 26, 2025By the provider in NPPES
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, RPH
Title
Owner
Phone
(606) 679-9227

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X KY
Oxygen Equipment & Supplies (DME) 332BX2000X KY
Community/Retail Pharmacy 3336C0003X P01578 KY Primary

Addresses

Primary practice location

900 E Mount Vernon St
Somerset, KY 42501-1228

Mailing address

900 E Mount Vernon St
Somerset, KY 42501-1228

Other identifiers 3

IdentifierTypeStateIssuer
54018247MedicaidKY
1815298OtherOTHER ID NUMBER-COMMERCIAL NUMBER
90011008MedicaidKY

Other names 1

  • Medicine Shoppe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20081014000794 KY Part B Supplier - Mass Immunization (Roster Biller Only) 0547328841 Practice locations: Somerset, KY
O20100930087820 KY DME Supplier - PharmacyDME Supplier - Orthotic Personnel 0547328841 Practice locations: Somerset, KY
O20210318001940 KY Part B Supplier - Independent Clinical Laboratory 0547328841 Practice locations: Somerset, 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
Medicine Shoppe of Somerset Inc900 E Mount Vernon St, Somerset, KY 42501-1228(606) 679-9227 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Seat Lift Mechanisms|Orthoses: Prefabricated (Non-Custom Fabricated)|Penile Pumps|Ostomy Supplies|Urological Supplies|Nebulizer Equipment a… Does not accept assignmentParticipating since Aug 1, 2008

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1700970118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MOUNT VERNON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MOUNT VERNON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011228",
            "telephone_number": "606-679-9227",
            "fax_number": "606-679-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE OF SOMERSET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "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",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P01578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54018247",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1815298",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90011008",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "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.
  • 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.