Advance Care Pharmacy PLLC
NPI 1104409564 · Community/Retail Pharmacy · Somerset, KY
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advance Care Pharmacy PLLC is a Community/Retail Pharmacy organization in Somerset, KY (NPI 1104409564).
Provider details
- NPI number
- 1104409564
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jody Dungan, Pharmacist in Charge(606) 676-0199
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advance Care Pharmacy
- Doing business as
- Advance Care Pharmacy
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2024-11-15
- Certified
- 2024-11-15
Frequently asked questions
- What is Advance Care Pharmacy PLLC's NPI number?
- Advance Care Pharmacy PLLC's National Provider Identifier (NPI) is 1104409564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advance Care Pharmacy PLLC?
- Advance Care Pharmacy PLLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Advance Care Pharmacy PLLC located?
- Advance Care Pharmacy PLLC's practice location on file with NPPES is 25 Medpark Square Dr Ste 4, Somerset, KY 42503-1708.
- What is Advance Care Pharmacy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Advance Care Pharmacy PLLC is (606) 676-0199.
- Does Advance Care Pharmacy PLLC accept Medicare?
- Advance Care Pharmacy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advance Care Pharmacy PLLC?
- The authorized official listed on Advance Care Pharmacy PLLC's NPPES record is Jody Dungan, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advance Care Pharmacy PLLC's NPI active?
- Yes — Advance Care Pharmacy PLLC's NPI (1104409564) is active in the NPPES registry as of the last update on 2024-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.