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PAT'S PHARMACY, INC.
NPI 1295110526
Pharmacy in Lebanon, KY

Active since July 28, 2015CLIA 18D0954165 · Waiver
498 W MAIN ST, LEBANON, KY 40033(270) 692-4950(270) 692-2320 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2022, Jan 7, 2019 (2 updates tracked since 2019).

About Pat's Pharmacy, Inc. NPPES

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

PAT'S PHARMACY, INC. (NPI 1295110526) is a healthcare organization registered as a pharmacy in Lebanon, Kentucky and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Joseph Kelly Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1295110526
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePAT'S PHARMACY, INC.
Location Address498 W MAIN STLebanon, KY 40033-1362
Mailing Address498 W Main StLebanon, KY 40033-1362 · (270) 692-4950
Phone(270) 692-4950
Fax(270) 692-2320
Organization SubpartNo
Authorized OfficialJoseph Kelly JohnsonPresident · (270) 692-4950
Enumeration DateJuly 28, 2015
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1295110526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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 ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License P06177 (KY)
498 W MAIN ST, Lebanon, KY 40033
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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 18D0954165

Pats Pharmacy Inc · Lebanon, KY
Active · expires Nov 18, 2026
CLIA Number18D0954165
Laboratory TypePharmacy
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorMr. Joesph K. Johnson
Laboratory Phone(502) 692-4950
Laboratory LocationPats Pharmacy Inc498 West Main Street, Lebanon, KY 40033
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
27 services26 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.
24 services24 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.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 36

Medicare supplier enrollment and the product categories Pat's Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Pat's Pharmacy Inc

DMEPOS supplier · Lebanon, KY
✔

Accepts Medicare assignment

Pat's Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20636567
Medicare Participant SinceJanuary 3, 1998
Supplier Location498 W Main StLebanon, KY 40033
Phone(270) 692-4950
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Continuous Passive Motion (CPM) Devices
Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

MR. WILLILAM PATRICK MATTINGLY R.PH.
Pharmacist
498 W MAIN ST
LEBANON, KY 40033
Marion County (270) 692-4950

Frequently Asked Questions

What is PAT'S PHARMACY, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1295110526, enumerated as an "organization" on July 28, 2015.

Where is the provider located?

The provider is located at 498 W MAIN ST LEBANON, KY 40033 and the phone number is (270) 692-4950.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.