MIDTOWN PHARMACY EXPRESS, LLC
NPI 1932442266
Pharmacy - Community/Retail Pharmacy in Beaver Dam, KY

Active since April 04, 2013
500 N MAIN ST, BEAVER DAM, KY 42320(270) 274-9224(270) 274-9226 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Midtown Pharmacy Express, Llc NPPES

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

MIDTOWN PHARMACY EXPRESS, LLC (NPI 1932442266) is a healthcare organization registered as a community/retail pharmacy in Beaver Dam, Kentucky and active in the NPI registry since April 2013. The organization lists Johnathan Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1932442266
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMIDTOWN PHARMACY EXPRESS, LLC
Location Address500 N MAIN STBeaver Dam, KY 42320-1949
Mailing Address500 N Main St, P.o. Box 125Beaver Dam, KY 42320-1949 · (270) 274-9224 · Fax (270) 274-9226
Fax(270) 274-9226
Organization SubpartNo
Authorized OfficialJohnathan FullerOwner · (270) 274-9224
Enumeration DateApril 4, 2013
Last NPPES UpdateNovember 20, 2013
NPI 1932442266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in KY · P07565
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
500 N MAIN ST, Beaver Dam, KY 42320

Other Identifiers 4

Medicare NSC6788110001KY
OtherP07565KY · Pharmacy License
Medicaid7100238220KY
Medicare PINK084870

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 36 times for 36 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 22 times for 22 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

This service was performed 16 times for 16 patients

Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose

This is your second dose of the COVID-19 vaccine, which is given via a shot into your muscle. The vaccine contains a tiny piece of the coronavirus's spike protein, which helps your body recognize and fight the virus. It's preservative-free and contains 100 mcg in a 0.5ml dose.

This service was performed 26 times for 24 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20516225
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2148699
Facility Type
Pharmacy
Certificate Effective Date
May 17, 2024
Certificate Expiration Date
May 16, 2026
Laboratory Director
MS. JESSIKA C. CHINN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Midtown Pharmacy Express, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MIDTOWN PHARMACY EXPRESS, LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
500 N MAIN ST
BEAVER DAM, KY 42320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932442266, enumerated as an "organization" on April 04, 2013.

The provider is located at 500 N MAIN ST BEAVER DAM, KY 42320 and the phone number is (270) 274-9224.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.