Active NPI
Nies Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- Independence, KY
National Provider Identifier
1912070525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- P06272
- Legal business name
- NIES PHARMACY INC
- Practice address
- 11745 Madison Pike
Independence, KY 41051-8637 - Phone
- (859) 356-3941
- Fax
- (859) 356-0338
- NPI assigned
- Nov 15, 2006
- 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
- Mr. Mitchell Horn
- Title
- President
- Phone
- (859) 356-3941
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P06272 | KY | Primary |
| Community/Retail Pharmacy | 3336C0003X | P06272 | KY | |
| Compounding Pharmacy | 3336C0004X | P06272 | KY |
Addresses
Primary practice location
11745 Madison Pike
Independence, KY 41051-8637
Mailing address
11745 Madison Pike
Independence, KY 41051-8637
Phone (859) 356-3941
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9001358200 | Medicaid | KY | |
| 54034582 | Medicaid | KY | |
| 1805451 | Other | KY | NABP |
| 18D1049498 | Other | KY | CLIA |
Other names 1
- Nies Pharmacy & Wellness Center
National Provider Directory
National Provider DirectoryLocations
11745 Madison Pike
Independence, KY 41051
Phone (859) 356-1000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Independence, KY
- NPI 1003366816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1912070525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11745 MADISON PIKE",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410518637",
"telephone_number": "859-356-3941",
"fax_number": "859-356-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11745 MADISON PIKE",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410518637",
"telephone_number": "859-356-3941",
"fax_number": "859-356-0338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIES PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "HORN",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-356-3941",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P06272",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P06272",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "KY",
"license": "P06272",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9001358200",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54034582",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1805451",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "18D1049498",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nies Pharmacy & Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Independence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.