SOUTH DIXIE PHARMACY LLC (NPI# 1508114463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508114463 |
| Entity Type | Organization |
| Organization Name | SOUTH DIXIE PHARMACY LLC |
| Other Organization Name | SOUTH DIXIE PHARMACY |
| Practice Address |
12134 South Dixie Highway Sonora KY 42776 |
| Practice Telephone | 2709493494 |
| Practice Fax Number | 2709493494 |
| Mailing Telephone | 2709493494 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-05-28 |
| Authorized Official Name | DR. MATTHEW W DANIELS (CO-OWNER/PHARMACIST) |
| Authorized Official Telephone | 2709493494 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07531 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100217350 | 05 |
| Other Name | Type Code |
|---|---|
| South Dixie Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395467 | South Dixie Pharmacy LLC | Pharmacy | 12134 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-04-22 |
| Street Address |
12134 SOUTH DIXIE HIGHWAY |
| City | SONORA |
| State | KY |
| Zip Code | 42776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704184 | A Plus Family Healthcare LLC | Clinic/Center | 12080 South Dixie Highway, Sonora, KY 42776 | 2019-11-07 |
| 1184907230 | Creekside Elementary School Satellite Clinic | Public Health or Welfare | 151 Horseshoe Bend Rd, Sonora, KY 42776-9329 | 2011-09-26 |
| 1972071215 | Cumberland Family Medical Center, Inc. | Nurse Practitioner | 151 Horseshoe Bend Rd, Sonora, KY 42776-9329 | 2018-11-05 |
| 1235336322 | Elizabeth A. Vinson | Physical Therapy Assistant | 2117 Nolin Rd, Sonora, KY 42776-9348 | 2007-07-02 |
| 1952649493 | Katelyn Tabb | Speech-Language Pathologist | 5253 Sonora Hardin Springs Rd, Sonora, KY 42776-9359 | 2013-01-17 |
| 1457801383 | Fruitful Speech, Pllc | Speech-Language Pathologist | 5253 Sonora Hardin Springs Rd, Sonora, KY 42776-9359 | 2016-10-04 |
| 1285160333 | Angela Waller | In Home Supportive Care | 311 Main St, Sonora, KY 42776-9707 | 2017-05-11 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1801169016 | Matthew Daniels | Pharmacist | 12134 S Dixie Hwy, Sonora, KY 42776-9739 | 2012-02-18 |
| 1699725044 | Bonnie Susanne Brown | Family Medicine | 11969 S Dixie Hwy, Sonora, KY 42776-9739 | 2006-05-10 |
| Find all providers in zip 42776 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598273989 | Pharm House Sonora, LLC. | Pharmacy | 417 Us-277 N, Sonora, TX 76950 | 2018-01-19 |
| 1689913840 | Sonora Pharmacy | Pharmacy | 726 Mono Way, Sonora, CA 95370-5233 | 2013-02-07 |
| 1073653242 | Bob's Greenley Pharmacy Inc | Pharmacy | 800 Delnero Dr, Sonora, CA 95370-5221 | 2007-02-07 |
| 1073556833 | Longs Drug Stores California LLC | Pharmacy | 13763 Mono Way, Sonora, CA 95370-8813 | 2006-06-13 |
| 1285657130 | Tuolumne General Hospital Phcy | Pharmacy | 101 Hospital Rd, Sonora, CA 95370-5227 | 2006-07-25 |
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| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
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| 1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.