Organization Active NPI

Discount Drug Mart, Inc

  • Community/Retail Pharmacy
  • Sandy Hook, KY
National Provider Identifier
1205906260
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Ms. Deborah Lee Brewer, RPHNPI 1366570764
Title
President
Phone
(606) 738-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PO2011 KY
Community/Retail Pharmacy 3336C0003X PO2011 KY Primary

Addresses

Primary practice location

108 Main Street
Sandy Hook, KY 41171-0187

Mailing address

108 Main Street
P.O. Box 187
Sandy Hook, KY 41171-0187
Phone (606) 738-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930040095 KY DME Supplier - Pharmacy 1557480423 Practice locations: Sandy Hook, KY
O20160901000566 KY Part B Supplier - Mass Immunization (Roster Biller Only) 1557480423 Practice locations: Sandy Hook, KY

National Provider Directory

National Provider Directory

Locations

121 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, KY

Sources for this page

  • 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.