EXTENCARE
NPI 1417119157
Pharmacy - Long Term Care Pharmacy in Lebanon, KY
- Organization
- Pharmacy
- Long Term Care Pharmacy
About EXTENCARE
This page provides the complete NPI Profile along with additional information for Extencare, a provider established in Lebanon, Kentucky operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1417119157 assigned on June 2008. The practitioner's primary taxonomy code is 3336L0003X with license number P07263 (KY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Extencare. The authorized official of this NPI record is Mr. Francis W Southall Jr. Rph (Owner)
- NPI
- 1417119157 Verify this NPI
- Provider Legal Name
- SOUTHALL PHARMACY PLLC
- Other Organization Name
- EXTENCARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 110 E MAIN ST LEBANON, KY 40033
- Location Phone
- (270) 699-9251
- Mailing Address
- 110 E MAIN ST LEBANON, KY 40033
- Mailing Phone
- (270) 699-9251
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2008
- Last Update Date
- 06-25-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Long Term Care Pharmacy
- Taxonomy Code
- 3336L0003X
- Type
- Suppliers
- License No.
- P07263
- License State
- KY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | P07263 (KY) |
| 2 | 332BN1400X | Suppliers | Durable Medical Equipment & Medical Supplies | P07263 (KY) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417119157, enumerated as an "organization" on June 25, 2008.
The provider is located at 110 E MAIN ST LEBANON, KY 40033 and the phone number is (270) 699-9251.
Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.
