SOUTHSIDE PHARMACY
NPI 1104908359
Pharmacy in Earlington, KY

Active since October 19, 2006
102 E MAIN ST, EARLINGTON, KY 42410(270) 383-3784(270) 383-3297 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Southside Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE PHARMACY (NPI 1104908359) is a healthcare organization registered as a pharmacy in Earlington, Kentucky and active in the NPI registry since October 2006. The organization lists Mike Seiber, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1104908359
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTHSIDE PHARMACY
Location Address102 E MAIN STEarlington, KY 42410-1334
Mailing Address102 E Main StEarlington, KY 42410-1334 · (270) 383-3784 · Fax (270) 383-3297
Fax(270) 383-3297
Organization SubpartNo
Authorized OfficialMike SeiberPharmacist · (270) 383-3784
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1104908359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in KY · P06644
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacistTaxonomy 183500000X · License 011354 (KY)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License P06644 (KY)
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License P06644 (KY)
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License P06644 (KY)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License P06644 (KY)
102 E MAIN ST, Earlington, KY 42410

Other Identifiers 1

Medicaid54002274KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Pharmacy's NPI number?

The NPI number for Southside Pharmacy is 1104908359. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Southside Pharmacy located?

Southside Pharmacy is located at 102 E Main St, Earlington, KY 42410. The listed phone number is (270) 383-3784.

What is Southside Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Southside Pharmacy was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.