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EXTENCARE
NPI 1417119157
Pharmacy - Long Term Care Pharmacy in Lebanon, KY

Active since June 25, 2008
110 E MAIN ST, LEBANON, KY 40033(270) 699-9251 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Extencare NPPES

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

EXTENCARE (NPI 1417119157) is a healthcare organization registered as a long term care pharmacy in Lebanon, Kentucky and active in the NPI registry since June 2008. The organization lists Francis W Southall, Owner, as its authorized official.

NPPES Registry Identity

NPI1417119157
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSOUTHALL PHARMACY PLLC
Location Address110 E MAIN STLebanon, KY 40033-1235
Mailing Address110 E Main StLebanon, KY 40033-1235 · (270) 699-9251
Phone(270) 699-9251
Organization SubpartNo
Authorized OfficialFrancis W SouthallOwner · (270) 692-3111
Enumeration DateJune 25, 2008
✔ NPI 1417119157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in KY · P07263
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License P07263 (KY)
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License P07263 (KY)
110 E MAIN ST, Lebanon, KY 40033
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Other Names 1

Doing Business AsExtencare

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 Southall Pharmacy PLLC's NPI number?

The NPI number for Southall Pharmacy PLLC is 1417119157. It was assigned to this organization in the NPPES registry on June 25, 2008. The provider is doing business as Extencare.

Where is Southall Pharmacy PLLC located?

Southall Pharmacy PLLC is located at 110 E Main St, Lebanon, KY 40033. The listed phone number is (270) 699-9251.

What is Southall Pharmacy PLLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Southall Pharmacy PLLC was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.