Organization Active NPI

Medica Inc

Doing business as Medica Pharmacy

  • Community/Retail Pharmacy
  • Shepherdsville, KY
National Provider Identifier
1730106550
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1371 Issued in KY
Legal business name
MEDICA INC
Doing business as
Medica Pharmacy
Practice address
181 Highway 44 E
Suite 5
Shepherdsville, KY 40165-6081
Phone
(502) 543-2423
Fax
(502) 531-9474
NPI assigned
Jul 16, 2006
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
J Leon Claywell, PHARMD
Title
President/ Ceo
Phone
(502) 543-2423

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X P06095 KY
Community/Retail Pharmacy 3336C0003X 1371 KY Primary

Addresses

Primary practice location

181 Highway 44 E
Suite 5
Shepherdsville, KY 40165-6081

Mailing address

181 Highway 44 E
Suite 5
Shepherdsville, KY 40165-6081
Phone (502) 543-2423

Other identifiers 2

IdentifierTypeStateIssuer
54030143MedicaidKY
90060153MedicaidKY

Other names 1

  • Medica Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1730106550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 HIGHWAY 44 E",
            "address_2": "SUITE 5",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656081",
            "telephone_number": "502-543-2423",
            "fax_number": "502-531-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 HIGHWAY 44 E",
            "address_2": "SUITE 5",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656081",
            "telephone_number": "502-543-2423",
            "fax_number": "502-531-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "CLAYWELL",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "502-543-2423",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "P06095",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54030143",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90060153",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medica Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.