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CLINIC PHARMACY SOUTH
NPI 1144483454
Durable Medical Equipment & Medical Supplies in Beechmont, KY

Active since July 07, 2008CLIA 18D2135942 · Waiver
3959 US HWY 41 S, BEECHMONT, KY 42323(270) 476-3600(270) 476-3100 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Clinic Pharmacy South NPPES

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

CLINIC PHARMACY SOUTH (NPI 1144483454) is a healthcare organization registered as a durable medical equipment & medical supplies in Beechmont, Kentucky and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Raymond D Gentry, President, as its authorized official.

NPPES Registry Identity

NPI1144483454
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCENTRAL CITY CLINIC PHARMACY, INC
Location Address3959 US HWY 41 SBeechmont, KY 42323-0070
Mailing Address203 N 2nd StCentral City, KY 42330-1287 · (270) 476-3600 · Fax (270) 476-3100
Phone(270) 476-3600
Fax(270) 476-3100
Organization SubpartNo
Authorized OfficialRaymond D GentryPresident · (270) 476-3600
Enumeration DateJuly 7, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1144483454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in KY · P06265
Definition
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.
3959 US HWY 41 S, Beechmont, KY 42323
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Other Names 1

Other NameClinic Pharmacy South

Other Identifiers 2

Other1824475KY · Nabp
Medicaid54032167KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2135942

Central City Clinic · Central City, KY
Active · expires Feb 4, 2027
CLIA Number18D2135942
Laboratory TypeCommunity Mental Health C
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorMr. Eric J. Embry
Laboratory Phone(270) 886-0486
Laboratory LocationCentral City Clinic109 South 2nd Street, Central City, KY 42330
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Central City Clinic Pharmacy, Inc's NPI number?

The NPI number for Central City Clinic Pharmacy, Inc is 1144483454. It was assigned to this organization in the NPPES registry on July 7, 2008. The provider is also known as Clinic Pharmacy South.

Where is Central City Clinic Pharmacy, Inc located?

Central City Clinic Pharmacy, Inc is located at 3959 Us Hwy 41 S, Beechmont, KY 42323. The listed phone number is (270) 476-3600.

What is Central City Clinic Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Central City Clinic Pharmacy, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2135942) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central City Clinic Pharmacy, Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.