Organization Active NPI

Newport Drug Store, Inc.

Doing business as Newport Drugs

  • Pharmacist
  • Newport, TN
National Provider Identifier
1205909686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5284 Issued in TN
Legal business name
NEWPORT DRUG STORE, INC.
Doing business as
Newport Drugs
Practice address
646 Cosby Hwy
Newport, TN 37821-3418
Phone
(423) 623-6166
Fax
(423) 623-6167
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Cecil Wayne Parker, DPH.
Title
President
Phone
(423) 623-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5284 TN Primary

Addresses

Primary practice location

646 Cosby Hwy
Newport, TN 37821-3418

Mailing address

646 Cosby Hwy
Newport, TN 37821-3418
Phone (423) 623-6166

Other identifiers 1

IdentifierTypeStateIssuer
1454531MedicaidTN

Other names 1

  • Newport Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

646 Cosby Hwy
Newport, TN 37821
Phone (423) 623-6166

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205909686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 COSBY HWY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213418",
            "telephone_number": "423-623-6166",
            "fax_number": "423-623-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 COSBY HWY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213418",
            "telephone_number": "423-623-6166",
            "fax_number": "423-623-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-623-6166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "5284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454531",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, TN

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.