Provider Demographics
NPI:1053649954
Name:M&M MEDS INC
Entity Type:Organization
Organization Name:M&M MEDS INC
Other - Org Name:HUME PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARM. D.
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-407-7465
Mailing Address - Street 1:10101 TAYLORSVILLE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:JEFFERSONTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40299-3662
Mailing Address - Country:US
Mailing Address - Phone:502-267-7453
Mailing Address - Fax:502-267-7455
Practice Address - Street 1:10101 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:JEFFERSONTOWN
Practice Address - State:KY
Practice Address - Zip Code:40299-3662
Practice Address - Country:US
Practice Address - Phone:502-267-7453
Practice Address - Fax:502-267-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP073733336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2123364OtherPK
1831711OtherNCPDP PROVIDER IDENTIFICATION NUMBER
KY6356600001Medicare NSC