S.E.W. Enterprises, Inc.

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

P07700 Issued in KY

Legal business name

S.E.W. ENTERPRISES, INC.

Practice address

1522 Cuba Rd
Mayfield, KY 42066-6809

Phone

(270) 247-3725

Fax

(270) 247-6033

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Mykel Linn Tidwell

Title

President

Phone

(270) 247-3345

Specialties & licenses 3

Addresses

Other names 1

• Duncan Specialty Pharmacy Doing business as

Tax ID family

Duncan Clinic Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• S.E.W. Enterprises, Inc.

  • Specialty Pharmacy
  • Mayfield, KY
  • NPI 1043668841
  NPD tax ID
• S.E.W. Enterprises, Inc.

  • Pharmacy
  • Mayfield, KY
  • NPI 1336284421
  NPD tax ID

Locations

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1730320326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 CUBA RD",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420666809",
            "telephone_number": "270-247-3725",
            "fax_number": "270-247-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 CUBA RD",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420666809",
            "telephone_number": "270-247-3725",
            "fax_number": "270-247-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.E.W. ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "MYKEL",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-247-3345"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P07700",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KY",
            "license": "P07700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duncan Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duncan Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandela Rudd, RD, LD, LDE
• Thomas Gerald Russell Jr., M.D.
• S.E.W. Enterprises, Inc.
• S.E.W. Enterprises, Inc.
• S.E.W. Enterprises, Inc.
• James Savage, PH.D.
• Nicole Schmidt, APRN
• April Scoggins
• Louis L Seng, M.D.
• Tammy Shanahan, LCSW

• Specialty Pharmacy in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Specialty Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.