SPECIALTY MEDICAL DRUGSTORE (NPI# 1659779064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659779064 |
| Entity Type | Organization |
| Organization Name | SPECIALTY MEDICAL DRUGSTORE |
| Practice Address |
525 Alexandria Pike Southgate KY 41071-3290 |
| Practice Telephone | 8887955826 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | RONALD FERGUSON (PRESIDENT) |
| Authorized Official Telephone | 8887955826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07653 | KY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538596788 | Specialty Medical Drugstore | Pharmacy | 264 Center Street, Suite 1, Miamiville, OH 45147 | 2013-10-02 |
| Street Address |
525 ALEXANDRIA PIKE |
| City | SOUTHGATE |
| State | KY |
| Zip Code | 41071-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047903 | Stephen F Mielech | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2005-07-18 |
| 1053715516 | Joan O Bovard | Nurse Practitioner | 525 Alexandria Pike, Suite 300, Southgate, KY 41071 | 2014-10-13 |
| 1548677636 | Summit Medical Group, Inc | Podiatrist | 525 Alexandria Pike, Ste 230, Southgate, KY 41071-3290 | 2014-07-21 |
| 1760704431 | Jared Cole Wilburn | Physical Therapist | 525 Alexandria Pike, Suite 200, Southgate, KY 41071-3290 | 2010-02-23 |
| 1992938567 | Kristopher Daniel Kaufman | Physical Therapist | 525 Alexandria Pike, Southgate, KY 41071 | 2009-08-31 |
| 1942451828 | Orthocincy | Durable Medical Equipment & Medical Supplies | 525 Alexandria Pike, Suite 200, Southgate, KY 41071 | 2008-10-09 |
| 1093978686 | Jamie Lynn Schulz | Internal Medicine | 525 Alexandria Pike, Ste 300, Southgate, KY 41071-3290 | 2008-07-03 |
| 1609075720 | Darren P Di Iulio | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2007-07-18 |
| 1982809828 | Brian John Crowley | Nurse Practitioner | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2007-06-20 |
| 1033240023 | Drs Cullen & Kreilein, Psc, Inc. | Plastic Surgery | 525 Alexandria Pike, Suite 220, Southgate, KY 41071-3290 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598240 | Drew Austin Rappaport | Dentist | 70 Carothers Rd, Newport, KY 41071 | 2017-06-14 |
| 1811443435 | Marcus E. Mckinney | Pharmacist | 100 Aqua Way, Newport, KY 41071 | 2016-09-01 |
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1437288065 | Douglas K Braun | Dentist | 40 E 9th St, Newport, KY 41071 | 2007-03-02 |
| 1952445017 | Therapeutic Collabortive | Social Worker | 525 Licking Pike, Wilder, KY 41071 | 2007-02-20 |
| 1215078407 | Holly Ann Eary | Counselor | 519 Licking Pk, Wilder, KY 41071 | 2007-02-09 |
| 1790839819 | James John Otrembiak | Pediatrics | 525 Alexandria Pike Ste 320, Southgate, KY 41071 | 2007-01-23 |
| 1033737085 | Ashley Ryan | Nurse Practitioner | 215 E. 11th St., Newport, KY 41071 | 2020-07-07 |
| 1548733066 | Summt Medical Group, Inc | Clinic/Center | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| 1164995544 | Summit Medical Group, Inc | Urology | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| Find all providers in zip 41071 | ||||
| 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 |
|---|---|---|---|---|
| 1881108454 | Vitale Rx LLC | Pharmacy | 14635 Northline Rd, Southgate, MI 48195-2483 | 2017-11-18 |
| 1497053086 | N A & S Drugs, Inc | Pharmacy | 15600 Northline Rd, Southgate, MI 48195-2350 | 2011-03-05 |
| 1770685018 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 15300 Eureka Rd, Southgate, MI 48195-3261 | 2006-09-05 |
| 1821100751 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 11125 Allen Rd, Southgate, MI 48195-3331 | 2006-08-31 |
| 1497381800 | Stopin Pharmacy LLC | Pharmacy | 13636 Dix Toledo Rd, Southgate, MI 48195-2432 | 2020-03-17 |
| 1942767660 | Southgate Family Pharmacy, LLC | Pharmacy | 15450 Northline Rd Ste 102, Southgate, MI 48195-2490 | 2019-02-28 |
| 1477002970 | Meijer | Pharmacy | 16300 Fort St, Pharmacy, Southgate, MI 48195-1428 | 2016-09-25 |
| 1154714210 | Raz Drugs Inc | Pharmacy | 14799 Dix Toledo Rd, Suite 2, Southgate, MI 48195-2507 | 2015-03-13 |
| 1780904748 | Vip Pharmacy Inc | Pharmacy | 14319 Dix Toledo Rd, Southgate, MI 48195-2506 | 2010-06-01 |
| 1619019957 | Belavista Drugs Inc | Pharmacy | 15830 Fort St, Suite 5, Southgate, MI 48195-1367 | 2007-02-13 |
| Find all providers in SOUTHGATE | ||||
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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.