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SOUTH DIXIE PHARMACY LTC
NPI 1699395467
Pharmacy - Long Term Care Pharmacy in Sonora, KY

Active since April 22, 2020
12134 S DIXIE HWY, SONORA, KY 42776(270) 949-3494(270) 949-3494 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2022, Apr 22, 2020 (2 updates tracked since 2020).

About South Dixie Pharmacy Ltc NPPES

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

SOUTH DIXIE PHARMACY LTC (NPI 1699395467) is a healthcare organization registered as a long term care pharmacy in Sonora, Kentucky and active in the NPI registry since April 2020. The organization lists Matthew Daniels, Owner, as its authorized official.

NPPES Registry Identity

NPI1699395467
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSOUTH DIXIE PHARMACY LLC
Location Address12134 S DIXIE HWYSonora, KY 42776-9739
Mailing Address12134 S Dixie HwySonora, KY 42776-9739 · (270) 949-3494
Phone(270) 949-3494
Fax(270) 949-3494
Organization SubpartNo
Authorized OfficialMatthew DanielsOwner · (270) 949-3494
Enumeration DateApril 22, 2020
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
✔ NPI 1699395467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
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.
12134 S DIXIE HWY, Sonora, KY 42776
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Other Names 1

Doing Business AsSouth Dixie Pharmacy Ltc

Other Identifiers 1

Medicaid7100217350KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories South Dixie Pharmacy carries, from the Medicare DMEPOS supplier directory.

South Dixie Pharmacy

DMEPOS supplier · Sonora, KYOperated by South Dixie Pharmacy LLC
✔

Accepts Medicare assignment

South Dixie Pharmacy 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)20516177
Medicare Participant SinceFebruary 13, 2013
Supplier Location12134 S Dixie HwySonora, KY 42776
Phone(270) 949-3494
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
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
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 3

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

DR. DAVID TABB PHARMD
Pharmacist
12134 S DIXIE HWY
SONORA, KY 42776
Hardin County (270) 949-3494
MATTHEW DANIELS PHARMD
Pharmacist
12134 S DIXIE HWY
SONORA, KY 42776
Hardin County (270) 949-3494
MRS. DIANA FRANCES BOWLES PHARMACIST
Pharmacist
12134 S DIXIE HWY
SONORA, KY 42776
Hardin County (270) 949-3494

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 South Dixie Pharmacy LLC's NPI number?

The NPI number for South Dixie Pharmacy LLC is 1699395467. It was assigned to this organization in the NPPES registry on April 22, 2020. The provider is doing business as South Dixie Pharmacy Ltc.

Where is South Dixie Pharmacy LLC located?

South Dixie Pharmacy LLC is located at 12134 S Dixie Hwy, Sonora, KY 42776. The listed phone number is (270) 949-3494.

What is South Dixie Pharmacy LLC's specialty?

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

Does South Dixie Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, South Dixie Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does South Dixie Pharmacy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 23 other insurers list South Dixie Pharmacy 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 South Dixie Pharmacy LLC was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.