SOUTHSIDE PHARMACY
SOUTHSIDE PHARMACY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104908359, based in Earlington, KY. The organization lists 6 taxonomy classifications, with Pharmacy recorded as primary.
Getting there
The practice address on file is 102 E MAIN ST, Earlington, KY 42410. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| P06644 | KY | Pharmacy primary |
| 011354 | KY | Pharmacist |
| P06644 | KY | Community/Retail Pharmacy |
| P06644 | KY | Oxygen Equipment & Supplies (DME) |
| P06644 | KY | Durable Medical Equipment & Medical… |
| P06644 | KY | Customized Equipment (DME) |
This provider holds licence P06644 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pharmacy covers
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. NUCC Health Care Provider Taxonomy, code 333600000X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 333600000X | Pharmacy | P06644 | KY | primary |
| 183500000X | Pharmacist | 011354 | KY | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | P06644 | KY | |
| 332BX2000X | Oxygen Equipment & Supplies (DME) Oxygen Equipment & Supplies | P06644 | KY | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | P06644 | KY | |
| 332BC3200X | Customized Equipment (DME) Customized Equipment | P06644 | KY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104908359 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 19, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
102 E MAIN ST Earlington, KY 42410 (270) 383-3784 Fax (270) 383-3297 |
| Other identifiers |
54002274
· Medicaid (KY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 9 | 0 | 8 | 3 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 9 | 0 | 7 | 3 | 1 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.