South Dixie Pharmacy Llc
Community/Retail Pharmacy
12134 South Dixie Highway, Sonora
Kentucky, 42776
270-949-3494 270-949-3494
South Dixie Pharmacy Llc is a Community/Retail Pharmacy in Sonora, Kentucky. It is located at 12134 South Dixie Highway, Sonora and it's customer support contact number is 270-949-3494. The authorized person of South Dixie Pharmacy Llc is Dr. Matthew W Daniels, PHARMD who is Co-owner/pharmacist of the pharmacy and his contact number is 270-949-3494. Active license number of South Dixie Pharmacy Llc is P07531 for Community/Retail Pharmacy in Kentucky. South Dixie Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
South Dixie Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
South Dixie Pharmacy Llc 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: | South Dixie Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 12134 South Dixie Highway, Sonora,
Kentucky, 42776 |
| Phone: | 270-949-3494 |
| Fax: | 270-949-3494 |
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: | Dr. Matthew W Daniels |
| Credentials: | PHARMD |
| Position: | Co-owner/pharmacist |
| Contact Number: | 270-949-3494 |
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: | 1508114463 |
| NPI Enumeration Date: | 27 Aug, 2012 |
| NPI Last Update On: | 12 Nov, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Dixie Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P07531 | Kentucky | Primary | |
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 |
| 7100217350 | Medicaid | Kentucky | |
Medicare Enrollment:
South Dixie Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3476790304 | O20130513000260 | South Dixie Pharmacy Llc | DME SUPPLIER - PHARMACY |
| 3476790304 | O20130806000762 | South Dixie Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12134 South Dixie Highway,
Sonora, Kentucky |
| Zip: | 42776 |
| Phone Number: | 270-949-3494 |
Patients can reach South Dixie Pharmacy Llc at
12134 South Dixie Highway, Sonora, Kentucky or can
call on customer care at 270-949-3494.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.