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Midway Pharmacy of Clarkson, Inc

NPI 1467439083ActiveOrganization· Pharmacy· Caneyville, KY

Pharmacy in Caneyville, Kentucky, registered in NPPES in December 2005. The authorized official on file is Trevor Ray, PHARMD, R.Ph./Secretary. Medicare paid $1,335 for services to 12 patients in 2024.

Overview

NPI1467439083
StatusActive
Entity typeOrganization
NPI issuedDec 23, 2005
Last updated in NPPESMar 7, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPO6776KY
Durable Medical Equipment & Medical Supplies332B00000XPO6776KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (KY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients12
Services billed24 across 2 procedure codes
Paid by Medicare$1,335

Medicare sources and data years