Healthcare Provider Details

I. General information

NPI: 1053649954
Provider Name (Legal Business Name): M&M MEDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2009
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 TAYLORSVILLE RD
JEFFERSONTOWN KY
40299-3662
US

IV. Provider business mailing address

10101 TAYLORSVILLE RD STE 102
JEFFERSONTOWN KY
40299-3663
US

V. Phone/Fax

Practice location:
  • Phone: 502-267-7453
  • Fax: 502-267-7455
Mailing address:
  • Phone: 502-267-7453
  • Fax: 502-267-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07373
License Number StateKY

VIII. Authorized Official

Name: MATTHEW ROBERT ANDREWS
Title or Position: OWNER/PHARM.D.
Credential: PHARM. D.
Phone: 502-267-7453