Medcare Inc
Organization Active NPI Community/Retail Pharmacy · Arlington, KY
NPI 1992711519 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1992711519
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P06418 (KY)
- Legal business name
- MEDCARE INC
- Practice address
- 165 Walnut Highway 51
Arlington, KY 42021 - Phone
- (270) 655-6151
- Fax
- (270) 655-6301
- NPI assigned
- Aug 1, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MEDCARE INC
Authorized official
- Name
- Ms. Frances Hall Sherrill, R.PH.
- Title
- President
- Phone
- (127) 065-5615
Corporate family (same tax ID) 2
Practitioners 1
-
Gretchen Anne Hayden, DOCTOR OF PHARMACY
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2238070 | Medcare Pharmacy and Home Medical | Certificate of waiver | Sep 29, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medcare Inc |
Nebulizer Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230418001987 | KY | DME Supplier - Pharmacy | 5496893463 | Practice locations: Arlington, KY |
| O20250410000480 | KY | Part B Supplier - Pharmacy | 5496893463 | Practice locations: Arlington, KY |
National Provider Directory
- Tax ID family
- Medcare Pharmacy Home Medi
- Part of
- Medcare Pharmacy Home Medi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P06418 | KY | Yes |
Addresses
Primary practice location
165 Walnut Highway 51
Arlington, KY 42021
Mailing address
PO Box 277
Arlington, KY 42021-0277
Phone (270) 655-6151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P06418 | Other | KY | PHARMACY LICENSE |
Other names
- MEDCARE PHARMACY AND HOME MEDICAL
Other providers in Arlington, KY
All providers in Arlington, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.