COLLEGE SQUARE PHARMACY (NPI# 1578748695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578748695 |
| Entity Type | Organization |
| Organization Name | COLLEGE SQUARE PHARMACY |
| Other Organization Name | KNIGHT'S PHARMACY |
| Practice Address |
191 Glades Rd Berea KY 40403-1369 |
| Mailing Address |
Po Box 1018 191 Glades Rd Berea KY 40403-3018 |
| Practice Telephone | 8599860500 |
| Practice Fax Number | 8599860505 |
| Mailing Telephone | 8599860500 |
| Mailing Fax Number | 8599860505 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | MR. JAMES M KNIGHT (BUSINESS MANAGER) |
| Authorized Official Telephone | 8599850516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 9000838400 | 05 |
| Other Name | Type Code |
|---|---|
| KNIGHT'S PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992790984 | College Square Pharmacy | Pharmacy | 191 Glades Rd, Berea, KY 40403 | 2005-09-15 |
| 1538236898 | College Square Pharmacy | Pharmacy | 191 Glades Rd, Berea, KY 40403-1369 | 2006-11-29 |
| Street Address |
191 GLADES RD |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992790984 | College Square Pharmacy | Pharmacy | 191 Glades Rd, Berea, KY 40403 | 2005-09-15 |
| 1538236898 | College Square Pharmacy | Pharmacy | 191 Glades Rd, Berea, KY 40403-1369 | 2006-11-29 |
| 1003983727 | James Gregory Knight | Pharmacist | 191 Glades Rd, Berea, KY 40403-1369 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255638 | Commonwealth Pain Associates Pllc | Durable Medical Equipment & Medical Supplies | 305 Estill St Fl 4, Berea, KY 40403-1742 | 2018-08-20 |
| 1235386541 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 220 Richmond Rd N, Berea, KY 40403-1319 | 2008-08-19 |
| 1386890952 | Madison South Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 405 Richmond Rd N, Ste D, Berea, KY 40403-2083 | 2008-08-14 |
| 1811090533 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 212 W Bagley Rd, Berea, OH 44017-1830 | 2006-09-07 |
| 1891804365 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 310 Glades Road, Berea, KY 40403-1355 | 2006-08-29 |
| 1417962465 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6 E Bagley Rd, Berea, OH 44017-2009 | 2006-07-29 |
| 1689672875 | L&m Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 928 W Jefferson St, Berea, KY 40403-1480 | 2005-07-12 |
| 1598762874 | S.a. Maher, Inc. | Durable Medical Equipment & Medical Supplies | 845 W Bagley Rd, Berea, OH 44017-2903 | 2005-07-01 |
| 1427574474 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 Glades Rd, Berea, KY 40403 | 2017-08-21 |
| 1356368674 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 120 Jill Dr, Berea, KY 40403-1677 | 2006-07-16 |
| Find all providers in BEREA | ||||
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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.