Organization
MED-MART PHARMACY LLC
Active
Organization
MED-MART PHARMACY LLC
Active
Other names
MED-MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SIZEMORE (PRESIDENT)
(606) 878-1200
Entity
Organization
Contact information
Practice address
87 C V B DR, LONDON, KY 40741-1096
(606) 878-1200
(606) 878-1214
Mailing address
87 CVB DR, LONDON, KY 40741
(606) 878-1200
(606) 878-1214
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07400
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831913
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100120850
—
KY
Enumeration date
06/15/2010
Last updated
01/10/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up