Southall Pharmacy – Durable Medical Equipment & Medical Supplies, NPI 1891798336
Durable Medical Equipment & Medical Supplies
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Southall Pharmacy
325 W WALNUT ST STE 500
LEBANON, KY 400331379
Phone: (270) 692-3111
Fax: (270) 692-4211
Type: Mailing
West Walnut Street, Lebanon, Boone County, Indiana, 46052, United States
STE 500
LEBANON, KY 400331379
Phone: (270) 692-3111
Fax: (270) 692-4211
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (956 days ago).
Enrollment records
2
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930043465 | O | Pharmacy | KY | 2024-07-31 |
| O20181002002155 | O | Pharmacy | KY | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 260 | 259 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 213 | 212 | $0 |
| G0008 | Administration of influenza virus vaccine | 195 | 195 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 183 | 183 | $0 |
| G0009 | Administration of pneumococcal vaccine | 63 | 62 | $0 |
Insurance plans in this area (ZIP 40033)
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