MEDICARE: NSP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	90001240	KY
2	3336C0003X	Community/Retail Pharmacy	P06425	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205915824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NSP, INC.

Provider Business Mailing Address
First Line	:	211 E NEW CIRCLE RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-2116
Country	:	US
Telephone Number	:	859-299-2551
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E NEW CIRCLE RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-2116
Country	:	US
Telephone Number	:	859-299-2551
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. TOD A. ADAMS
Credential	:	R.PH.
Telephone Number	:	859-299-2551

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	02/19/2008

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