Provider Demographics
NPI:1487675328
Name:SCHEPMAN ENTERPRISES INC.
Entity Type:Organization
Organization Name:SCHEPMAN ENTERPRISES INC.
Other - Org Name:MEDICINE MART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SCHEPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:859-331-5400
Mailing Address - Street 1:3126 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1866
Mailing Address - Country:US
Mailing Address - Phone:859-331-5400
Mailing Address - Fax:859-331-0342
Practice Address - Street 1:3126 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1866
Practice Address - Country:US
Practice Address - Phone:859-331-5400
Practice Address - Fax:859-331-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPO1184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54015144Medicaid
KY1811606Medicare UPIN
KY0748130001Medicare ID - Type Unspecified