Southall Family Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTHALL FAMILY PHARMACY

Practice address

325 W. Walnut St. Suite 500
Lebanon, KY 40033

Phone

(270) 692-3111

NPI assigned

Jul 30, 2026

Last updated

Jul 30, 2026By 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

Michael SouthallNPI 1609465152

Title

Pharmacy/Future Owner

Phone

(859) 619-1466

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Michael Southall

  • Pharmacist
  • Lebanon, KY
  • NPI 1609465152
  Authorized official Same address or phone

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1841113784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W. WALNUT ST. SUITE 500",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "40033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W. WALNUT ST. SUITE 500",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "40033",
            "telephone_number": "270-692-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHALL FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "SOUTHALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY/FUTURE OWNER",
        "authorized_official_telephone_number": "859-619-1466"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Anne Smith, LCSW
• Robert Henry Smith, D.M.D.
• Sarah Smith
• Stacy L Smithson, M.D.
• Heather Michelle Smothers, BCBA,LBA
• Southall Pharmacy PLLC (Extencare)
• Southall Pharmacy PLLC
• Abigail Hagan Southall, NURSE PRACTITIONER
• Francis W Southall, Jr, RPH
• Michael Southall

• Community/Retail Pharmacy in Lebanon, KY
• Providers in Lebanon, 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 Jul 30, 2026; 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.