Wilmore Pharmacist Group, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06971 Issued in KY

Legal business name

WILMORE PHARMACIST GROUP, LLC

Doing business as

Med-Save Wilmore
sims drug store

Practice address

201 E Main St
Wilmore, KY 40390-1321

Phone

(859) 858-2453

Fax

(859) 858-2436

NPI assigned

Sep 15, 2006

Last updated

May 7, 2025By 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

Mr. John J McDanielNPI 1821693151

Title

Pharmacist

Phone

(859) 858-2453

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• Med-Save Wilmore Doing business as
• sims drug store Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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.

• John Jason McDaniel, PHARMD

  • Pharmacist
  • Wilmore, KY
  • NPI 1821693151
  NPD Authorized official
• Lakin Rachelle Marr, PHARMD

  • Pharmacist
  • Lexington, KY
  • NPI 1023613346
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1750487260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901321",
            "telephone_number": "859-858-2453",
            "fax_number": "859-858-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901321",
            "telephone_number": "859-858-2453",
            "fax_number": "859-858-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMORE PHARMACIST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "859-858-2453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "P06971",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06971",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P06971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54008313",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Save Wilmore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "sims drug store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University of Kentucky (Phyllis D Corbitt Community Health Center)
• Melina Vittos, MS, CCC-SLP
• Lisa Thompson Wells, M.S., CCC-SLP
• Wilmore Behavioral Services LLC
• Wilmore Pharmacist Group, LLC (Med-Save Wilmore LTC)

• Community/Retail Pharmacy in Wilmore, KY
• Providers in Wilmore, 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 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.