Organization Active NPI

Med-Save LLC

  • Community/Retail Pharmacy
  • Berea, KY
National Provider Identifier
1730546409
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07745 Issued in KY
Legal business name
MED-SAVE LLC
Practice address
102 Prince Royal Dr Ste 2
Berea, KY 40403-1468
Phone
(859) 985-7283
Fax
(859) 985-0413
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jerry Barnette, RPH
Title
Member
Phone
(859) 333-8462

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 07745 KY Primary

Addresses

Primary practice location

102 Prince Royal Dr Ste 2
Berea, KY 40403-1468

Mailing address

102 Prince Royal Dr Ste 2
Berea, KY 40403-1468
Phone (859) 985-7283

Other identifiers 2

IdentifierTypeStateIssuer
2157432OtherPK
7100391870MedicaidKY

Other names 1

  • Med-Save Berea, Medicine Shoppe 2069 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200521001309 KY Part B Supplier - Pharmacy 3173803038 Practice locations: Berea, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2196746Med-Save Berea102 Prince Royal Drive Suite 2, Berea, KY 40403Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Locations

102 Prince Royal Dr
#2
Berea, KY 40403
Phone (859) 985-7283

125 Foxglove Dr
Mt Sterling, KY 40353
Phone (859) 498-0136

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1730546409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PRINCE ROYAL DR STE 2",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031468",
            "telephone_number": "859-985-7283",
            "fax_number": "859-985-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PRINCE ROYAL DR STE 2",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031468",
            "telephone_number": "859-985-7283",
            "fax_number": "859-985-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BARNETTE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-333-8462",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "07745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100391870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Save Berea, Medicine Shoppe 2069",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.