College Square Pharmacy
Durable Medical Equipment & Medical Supplies
191 Glades Rd, Berea
Kentucky, 40403
859-986-0500 859-986-0505
College Square Pharmacy is not a DME supplier for medicare equipments and products.
College Square Pharmacy is a Durable Medical Equipment & Medical Supplies in Berea, Kentucky. This organization is also known as sub part of College Square Pharmacy. It is located at 191 Glades Rd, Berea and it's customer support contact number is 859-986-0500. The authorized person of College Square Pharmacy is Mrs. Erin E Knight who is Owner of the pharmacy and her contact number is 859-986-0500. Active license number of College Square Pharmacy is P06904 for Durable Medical Equipment & Medical Supplies in Kentucky.
College Square Pharmacy is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Pharmacy Details:
College Square Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | College Square Pharmacy |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 191 Glades Rd, Berea, Kentucky, 40403 |
| Phone: | 859-986-0500 |
| Fax: | 859-986-0505 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Erin E Knight |
| Position: | Owner |
| Contact Number: | 859-986-0500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1992790984 |
| Parent Organization: | College Square Pharmacy |
| NPI Enumeration Date: | 15 Sep, 2005 |
| NPI Last Update On: | 22 Mar, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for College Square Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | P06904 | Kentucky | Primary | |
| Pharmacy | P06904 | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 54006085 | Medicaid | Kentucky | |
| 90008384 | Medicaid | Kentucky | |
| P300037221 | Other | Kentucky | Ptan |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1018, Berea, Kentucky |
| Zip: | 40403 |
| Phone Number: | 859-986-0500 |
| Fax Number: | 859-986-0505 |
Patients can reach College Square Pharmacy at
191 Glades Rd, Berea, Kentucky or can
call on customer care at 859-986-0500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.