McCays Total Care Pharmacy South LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MCCAYS TOTAL CARE PHARMACY SOUTH LLC

Practice address

852 Ridgewood Drive
Suite F
Berea, KY 40403

Phone

(859) 749-1883

NPI assigned

May 31, 2018

Last updated

May 31, 2018By 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

Wanda Antrobus

Title

Manager

Phone

(606) 316-2031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1710479241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 RIDGEWOOD DRIVE",
            "address_2": "SUITE F",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "40403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 RIDGEWOOD DRIVE",
            "address_2": "SUITE F",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "40403",
            "telephone_number": "859-749-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAYS TOTAL CARE PHARMACY SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "ANTROBUS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "606-316-2031"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Mansfield, CADC, CSW
• Ashleigh Brooke Martin, BA
• Katherine Paige Matlock, SLP-CCC
• Trina R. Mattingly, APRN
• Amanda Maxie, OTR/L
• Brian Beatty McDonald, L.C.S.W.
• Angelina Marie McGuire
• Stephanie S. McGuire, APRN
• Bryson McKee, PT, DPT
• Devin McMenama

• Community/Retail Pharmacy in Berea, KY
• Providers in Berea, 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 May 31, 2018; 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.