FRANCIS W SOUTHALL JR (NPI# 1891798336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891798336 |
| Entity Type | Organization |
| Organization Name | FRANCIS W SOUTHALL JR |
| Other Organization Name | SOUTHALL PHARMACY PLLC |
| Practice Address |
325 W Walnut St Ste 500 Lebanon KY 40033 |
| Mailing Address |
325 W Walnut St Ste 500 Lebanon KY 40033-1379 |
| Practice Telephone | 2706923111 |
| Practice Fax Number | 2706924211 |
| Mailing Telephone | 2706923111 |
| Mailing Fax Number | 2706924211 |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | MR. FRANCIS W. SOUTHALL JR. (OWNER) |
| Authorized Official Telephone | 2706923111 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | P02451 | KY | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P02451 | KY | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
P02451 | KY | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90040783 | 05 | |
| KY | 54027925 | 05 |
| Other Name | Type Code |
|---|---|
| Southall Pharmacy | Doing Business As Name - Organization |
| Southall Pharmacy PLLC | Doing Business As Name - Organization |
| Street Address |
325 W WALNUT ST STE 500 |
| City | LEBANON |
| State | KY |
| Zip Code | 40033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614120 | Savannah Marie King | Nurse Practitioner | 325 W Walnut St, Lebanon, KY 40033-1377 | 2019-02-06 |
| 1962863407 | Jody Coomer | Nurse Practitioner | 325 W Walnut St, Ste. 600, Lebanon, KY 40033-1377 | 2016-03-11 |
| 1972983559 | Amy Wheatley | Nurse Practitioner | 325 W Walnut St, Ste 600, Lebanon, KY 40033-1377 | 2015-06-09 |
| 1093156929 | Monica B Strenecky | Nurse Practitioner | 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 | 2013-07-08 |
| 1932410958 | Laura L Mccain | Nurse Practitioner | 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 | 2010-06-24 |
| 1316263304 | Daniel V. Hunt, Md., P.s.c. | Orthopaedic Surgery | 325 W Walnut St, Suite 100, Lebanon, KY 40033-1377 | 2010-04-15 |
| 1285969055 | Amanda M Ballard | Optometrist | 325 W Walnut St, Ste400, Lebanon, KY 40033-1377 | 2009-10-12 |
| 1073799268 | Bluegrass Eye Surgery Psc | Ophthalmology | 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377 | 2008-01-17 |
| 1497871859 | Southall Pharmacy Pllc | Durable Medical Equipment & Medical Supplies | 325 W Walnut St, Suite 500, Lebanon, KY 40033-1377 | 2007-03-21 |
| 1710055041 | Gary Nathanael Wortz | Ophthalmology | 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| 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 |
|---|---|---|---|---|
| 1669024972 | Advanced Dme, LLC | Durable Medical Equipment & Medical Supplies | 1432 W Main St Ste 103, Lebanon, TN 37087-1329 | 2019-07-16 |
| 1972164424 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 988 Isabel Dr, Lebanon, PA 17042-7483 | 2019-06-25 |
| 1528560786 | Douglas Rasnake | Durable Medical Equipment & Medical Supplies | Po Box 1148, Lebanon, VA 24266-1148 | 2018-03-05 |
| 1356849301 | Loeco LLC | Durable Medical Equipment & Medical Supplies | 1123 N Castle Heights Ave Ste L, Lebanon, TN 37087-5725 | 2018-01-24 |
| 1316455587 | Douglas Rasnake | Durable Medical Equipment & Medical Supplies | 206 Pruner St, Lebanon, VA 24266-4210 | 2018-01-22 |
| 1407100274 | Jackson Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 77 Business Park Dr, Lebanon, TN 37090-1237 | 2012-11-01 |
| 1992073936 | Rmi, Incorporated | Durable Medical Equipment & Medical Supplies | 2220 N Lebanon St, Lebanon, IN 46052-1109 | 2011-12-06 |
| 1588946776 | Synergy Respiratory Care | Durable Medical Equipment & Medical Supplies | 1165 S Park St, Lebanon, OR 97355-3452 | 2011-09-13 |
| 1285933598 | Mobility One LLC | Durable Medical Equipment & Medical Supplies | 930 Meily St, Lebanon, PA 17046-2855 | 2011-03-25 |
| 1275767584 | Homewell Medical Inc | Durable Medical Equipment & Medical Supplies | 360 N Mount Zion Rd, Suite D, Lebanon, IN 46052-8330 | 2009-05-14 |
| Find all providers in LEBANON | ||||
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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.