Mike's Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07602 Issued in KY

Legal business name

MIKE'S PHARMACY, LLC

Doing business as

Mike's Pharmacy

Practice address

104 S. Lee Trover Todd Jr Hwy
Earlington, KY 42410

Phone

(270) 905-4046

Fax

(270) 905-4047

NPI assigned

Dec 6, 2013

Last updated

Sep 5, 2018By 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. Michael Wayne Seiber, R.PH

Title

Owner/Pharmacist

Phone

(270) 871-3530

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Mike's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1780015461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S. LEE TROVER TODD JR HWY",
            "city": "EARLINGTON",
            "state": "KY",
            "postal_code": "42410",
            "telephone_number": "270-905-4046",
            "fax_number": "270-905-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S. LEE TROVER TODD JR HWY",
            "city": "EARLINGTON",
            "state": "KY",
            "postal_code": "42410",
            "telephone_number": "270-905-4046",
            "fax_number": "270-905-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "SEIBER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "270-871-3530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07602",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100275060",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143183",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mike's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baptist Health Madisonville Inc (Baptist Health Medical Associates)
• Community Care of Kentucky, Inc
• Regional Health Care Affiliates Inc
• Tammy Renee Sanders, DMD
• Kristina Anne Sifuentes, APRN FNP-BC
• Southside Pharmacy

• Community/Retail Pharmacy in Earlington, KY
• Providers in Earlington, 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 Sep 5, 2018; 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.