Healthcare Provider Details

I. General information

NPI: 1952481483
Provider Name (Legal Business Name): STERLING PHARMACY GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 MILLER DR UNIT 3
OWINGSVILLE KY
40360-2212
US

IV. Provider business mailing address

125 FOXGLOVE DR UNIT A
MT STERLING KY
40353-9735
US

V. Phone/Fax

Practice location:
  • Phone: 606-674-6334
  • Fax: 606-674-2059
Mailing address:
  • Phone: 859-585-1854
  • Fax: 859-520-3534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. JERRY BARNETTE JR.
Title or Position: OWNER
Credential: RPH.
Phone: 859-585-1854