Discount Drug Mart, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO2011 Issued in KY

Legal business name

DISCOUNT DRUG MART, INC

Practice address

108 Main Street
Sandy Hook, KY 41171-0187

Phone

(606) 738-5111

Fax

(606) 738-4018

NPI assigned

Nov 8, 2006

Organization subpart

No

Name

Ms. Deborah Lee Brewer, RPHNPI 1366570764

Title

President

Phone

(606) 738-5111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Lee Brewer, RPH

  • Pharmacist
  • Sandy Hook, KY
  • NPI 1366570764
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2014.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1205906260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAIN STREET",
            "address_2": "P.O. BOX 187",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411710187",
            "telephone_number": "606-738-5111",
            "fax_number": "606-738-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAIN STREET",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411710187",
            "telephone_number": "606-738-5111",
            "fax_number": "606-738-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOUNT DRUG MART, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-738-5111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "PO2011",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "PO2011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54021977",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Clevenger
• Wayne Colyer
• Jeremy Cornett
• Crystal Spencer Physical Therapy Services, PLLC
• John Brett Dickerson
• Diversicare Leasing Corp.
• Dr. Kimberly a. Buckner, P.L.C.
• Carla Dianne Dyer, DNP, APRN
• Kara Elam, RN
• Elliott County Ambulance Service

• All providers in Sandy Hook, KY
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.