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MAIN STREET PHARMACY OF CADIZ
NPI 1174090799
Pharmacy - Community/Retail Pharmacy in Cadiz, KY

Active since November 01, 2018CLIA 18D2186482 · Waiver

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2020, Jan 17, 2020, Jun 19, 2019 and 1 more (4 updates tracked since 2018).

About Main Street Pharmacy Of Cadiz NPPES

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

MAIN STREET PHARMACY OF CADIZ (NPI 1174090799) is a healthcare organization registered as a community/retail pharmacy in Cadiz, Kentucky and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists James B Wiseman, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1174090799
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWISEGROUP LLC
Location Address289 MAIN STCadiz, KY 42211-9151
Mailing Address289 Main StCadiz, KY 42211-9151 · (270) 882-2222 · Fax (270) 882-6337
Phone(270) 882-2222
Organization SubpartNo
Authorized OfficialJames B WisemanPharmacist · (270) 882-2222
Enumeration DateNovember 1, 2018
Last NPPES UpdateMarch 26, 20204 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1174090799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
289 MAIN ST, Cadiz, KY 42211
Open in Google Maps ↗

Other Names 1

Doing Business AsMain Street Pharmacy Of Cadiz

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 18D2186482

Main Street Pharmacy · Cadiz, KY
Active · expires Jun 16, 2028
CLIA Number18D2186482
Laboratory TypePharmacy
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorMs. Jennifer R. Shown
Laboratory Phone(270) 882-2222
Laboratory LocationMain Street Pharmacy289 Main Street, Cadiz, KY 42211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
122 services122 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
59 services59 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
57 services57 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
25 services25 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
17 services17 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER RHEA SHOWN PHARMD
Pharmacist
289 MAIN ST
CADIZ, KY 42211
Trigg County (270) 882-2222
ERIN MCCRAW
Pharmacist
289 MAIN ST
CADIZ, KY 42211
Trigg County (270) 882-2222

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 Wisegroup LLC's NPI number?

The NPI number for Wisegroup LLC is 1174090799. It was assigned to this organization in the NPPES registry on November 1, 2018. The provider is doing business as Main Street Pharmacy Of Cadiz.

Where is Wisegroup LLC located?

Wisegroup LLC is located at 289 Main St, Cadiz, KY 42211. The listed phone number is (270) 882-2222.

What is Wisegroup LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Wisegroup LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2186482) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wisegroup LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Wisegroup LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wisegroup LLC was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.