Francis W Southall Jr
Organization Active NPI Durable Medical Equipment & Medical Supplies · Lebanon, KY
NPI 1891798336 · NPPES record last updated Dec 31, 2025
Key facts
- NPI
- 1891798336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- FRANCIS W SOUTHALL JR
- Practice address
- 325 W Walnut St Ste 500
Lebanon, KY 40033-1379 - Phone
- (270) 692-3111
- Fax
- (270) 692-4211
- NPI assigned
- May 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Francis W Southall, Jr
- Title
- Owner
- Phone
- (270) 692-3111
Corporate family (same tax ID) 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043465 | KY | DME Supplier - Pharmacy |
7517084569 | Practice locations: Lebanon, KY |
| O20181002002155 | KY | Part B Supplier - Pharmacy | 7517084569 | Practice locations: Lebanon, KY |
National Provider Directory
- Tax ID family
- Francis W Southall Jr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Pharmacy | 333600000X | P02451 | KY | |
| Community/Retail Pharmacy | 3336C0003X | P02451 | KY | |
| Long Term Care Pharmacy | 3336L0003X | P02451 | KY |
Addresses
Primary practice location
325 W Walnut St Ste 500
Lebanon, KY 40033-1379
Mailing address
325 W Walnut St Ste 500
Lebanon, KY 40033-1379
Phone (270) 692-3111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90040783 | Medicaid | KY | |
| 54027925 | Medicaid | KY |
Other names
- Southall Pharmacy
- Southall Pharmacy PLLC
Other providers in Lebanon, KY
- Fast Pace Kentucky, PLLC
- Alison Danielle Feese
- Lisa Michelle Ferris
- Karlie Michelle Followell
- Francis W Southall Jr
- Fresenius Medical Care Nak Lebanon, LLC
- David Brian George
- Kristen Eve George
- Bobby D Goosey
- Allison Rachel Gootee
All providers in Lebanon, KY · Durable Medical Equipment & Medical Supplies in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.