Active NPI
Med-Save LLC
- Community/Retail Pharmacy
- Berea, KY
National Provider Identifier
1730546409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 07745
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157432 | Other | PK | |
| 7100391870 | Medicaid | KY |
Other names 1
- Med-Save Berea, Medicine Shoppe 2069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200521001309 | KY | Part B Supplier - Pharmacy | 3173803038 | Practice locations: Berea, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2196746 | Med-Save Berea | Certificate of waiver | Oct 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.