MIKE'S PHARMACY, LLC (NPI# 1780015461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780015461 |
| Entity Type | Organization |
| Organization Name | MIKE'S PHARMACY, LLC |
| Other Organization Name | MIKE'S PHARMACY |
| Practice Address |
104 S. Lee Trover Todd Jr Hwy Earlington KY 42410 |
| Practice Telephone | 2709054046 |
| Practice Fax Number | 2709054047 |
| Mailing Telephone | 2709054046 |
| Mailing Fax Number | 2709054047 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | MR. MICHAEL WAYNE SEIBER (OWNER/PHARMACIST) |
| Authorized Official Telephone | 2708713530 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07602 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143183 | 01 | |
| KY | 7100275060 | 05 |
| Other Name | Type Code |
|---|---|
| Mike's Pharmacy | Doing Business As Name - Organization |
| Street Address |
104 S. LEE TROVER TODD JR HWY |
| City | EARLINGTON |
| State | KY |
| Zip Code | 42410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568594992 | Tammy Renee Sanders | Dentist | 122 S Lee Trover Todd Jr Hwy, Earlington, KY 42410 | 2007-03-12 |
| 1487020459 | Regional Health Care Affiliates Inc | Family Medicine | 107 E Main St, Earlington, KY 42410-1333 | 2015-08-13 |
| 1073657177 | Baptist Health Madisonville Inc | Family Medicine | 107 E Main St, Earlington, KY 42410-1333 | 2007-02-20 |
| 1104908359 | Southside Pharmacy | Pharmacist | 102 E Main St, Earlington, KY 42410-1334 | 2006-10-19 |
| 1659551463 | Hopkins County Health Department | Public Health or Welfare | 310 W Thompson St, Earlington, KY 42410-1483 | 2007-11-08 |
| 1962880997 | Community Care of Kentucky, Inc | Dentist | 122 S Lee Trover Todd Jr Hwy, Earlington, KY 42410-1557 | 2015-05-11 |
| 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] |
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| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 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 | ||||
| City | EARLINGTON |
| Zip Code | 42410 |
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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.