Mustang Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1999140201 Issued in MO

Legal business name

MUSTANG DRUG INC

Doing business as

Mustang Drug

Practice address

704 C South Hwy 59
Anderson, MO 64831

Phone

(417) 845-7799

Fax

(417) 845-7797

NPI assigned

Aug 18, 2006

Last updated

Jun 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Thorton

Title

President

Phone

(417) 845-7799

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MUSTANG DRUG Doing business as

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1225142292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "648310418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 C SOUTH HWY 59",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "64831",
            "telephone_number": "417-845-7799",
            "fax_number": "417-845-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "THORTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-845-7799"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "1999140201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048293",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604754101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUSTANG DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Maze
• Leland McCall, DDS
• McDonald County R-1 Schools
• Amanda D McKarus, PT
• Megan Morris
• N & R of Anderson LLC (McDonald County Living Center)
• Brenna Jean Neumann, PHARM.D.
• Christina R Newell, RDH
• Rebecca Otten, RDH
• Ozark Tri-County Health Care Consortium (Access Family Care)

• Community/Retail Pharmacy in Anderson, MO
• Providers in Anderson, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.