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THE MEDICINE SHOPPE
NPI 1710977442
Pharmacy - Community/Retail Pharmacy in Elizabethtown, KY

Active since October 25, 2005
910 N DIXIE AVE STE 105, ELIZABETHTOWN, KY 42701(270) 769-3717(270) 769-2887 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Medicine Shoppe NPPES

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

THE MEDICINE SHOPPE (NPI 1710977442) is a healthcare organization registered as a community/retail pharmacy in Elizabethtown, Kentucky and active in the NPI registry since October 2005. The organization lists Larry Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1710977442
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLARRY J & BONNIE P RUSSELL
Location Address910 N DIXIE AVE STE 105Elizabethtown, KY 42701-2519
Mailing Address910 N Dixie Ave Ste 105Elizabethtown, KY 42701-2519 · (270) 769-3717 · Fax (270) 769-2887
Phone(270) 769-3717
Fax(270) 769-2887
Organization SubpartNo
Authorized OfficialLarry RussellOwner · (270) 769-3717
Enumeration DateOctober 25, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1710977442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPharmacyTaxonomy 333600000X · License P01397 (KY)
910 N DIXIE AVE STE 105, Elizabethtown, KY 42701
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Other Names 1

Doing Business AsThe Medicine Shoppe

Other Identifiers 2

Other1813131KY · Ncpdp #
Medicaid5401676100KY

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 Larry J & Bonnie P Russell's NPI number?

The NPI number for Larry J & Bonnie P Russell is 1710977442. It was assigned to this organization in the NPPES registry on October 25, 2005. The provider is doing business as The Medicine Shoppe.

Where is Larry J & Bonnie P Russell located?

Larry J & Bonnie P Russell is located at 910 N Dixie Ave Ste 105, Elizabethtown, KY 42701. The listed phone number is (270) 769-3717.

What is Larry J & Bonnie P Russell's specialty?

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

When was this NPI record last updated?

The NPPES record for Larry J & Bonnie P Russell was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.