Organization Active NPI

Downtown Drug Inc

  • Community/Retail Pharmacy
  • Martin, KY
National Provider Identifier
1154479160
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO6243 Issued in KY
Legal business name
DOWNTOWN DRUG INC
Practice address
90 Triangle Street
Martin, KY 41649-1369
Phone
(606) 285-0786
Fax
(606) 285-0646
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Melissa Ann Samons, PHARMACIST
Title
Owner
Phone
(606) 285-0786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PO6243 KY Primary

Addresses

Primary practice location

90 Triangle Street
Martin, KY 41649-1369

Mailing address

90 Triangle Street
Martin, KY 41649-1369
Phone (606) 285-0786

Other identifiers 3

IdentifierTypeStateIssuer
6243OtherKYKY PHARMACY PERMIT
54031612MedicaidKY
1824336OtherKYNCPDP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154479160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 TRIANGLE STREET",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416491369",
            "telephone_number": "606-285-0786",
            "fax_number": "606-285-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 TRIANGLE STREET",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416491369",
            "telephone_number": "606-285-0786",
            "fax_number": "606-285-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMONS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-285-0786",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO6243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY PHARMACY PERMIT",
            "identifier": "6243",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54031612",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1824336",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.