NPIMap

Organization Active NPI

Airline Drug Inc

Doing business as Louis & Clark Drug

  • Community/Retail Pharmacy
  • Chicopee, MA
National Provider Identifier
1154387553
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1151 Issued in MA
Legal business name
AIRLINE DRUG INC
Doing business as
Louis & Clark Drug
Practice address
1481 Memorial Dr
Chicopee, MA 01020-3900
Phone
(413) 534-5677
Fax
(413) 536-2458
NPI assigned
Apr 25, 2006
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Clark E Matthews Jr.
Title
President
Phone
(413) 596-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1151 MA Primary

Addresses

Primary practice location

1481 Memorial Dr
Chicopee, MA 01020-3900

Mailing address

2689 Boston Rd
PO Box 966
Wilbraham, MA 01095-1141
Phone (413) 596-2431

Other identifiers 1

IdentifierTypeStateIssuer
0419826MedicaidMA

Other names 1

  • Louis & Clark Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Louis Clark Drug 8784 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1154387553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2689 BOSTON RD",
            "address_2": "PO BOX 966",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951141",
            "telephone_number": "413-596-2431",
            "fax_number": "413-596-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 MEMORIAL DR",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010203900",
            "telephone_number": "413-534-5677",
            "fax_number": "413-536-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLINE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-596-2431",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419826",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louis & Clark Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.