Economy Drug Mott Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

552 Issued in ND

Legal business name

ECONOMY DRUG MOTT INC

Doing business as

Mott Drug Store

Practice address

216 Brown Ave
Mott, ND 58646-7100

Phone

(701) 824-8297

NPI assigned

Jan 24, 2007

Last updated

Jul 17, 2013By 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

Charles Oien

Title

Owner

Phone

(701) 824-2897

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MOTT DRUG STORE Doing business as

Tax ID family

Economy Drug Mott Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Economy Drug Mott Inc

  • Community/Retail Pharmacy
  • Mott, ND
  • NPI 1215371695
  NPD tax ID

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1255486908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "address_2": "216 BROWN AVE",
            "city": "MOTT",
            "state": "ND",
            "postal_code": "58646",
            "telephone_number": "701-824-2897",
            "fax_number": "701-824-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 BROWN AVE",
            "city": "MOTT",
            "state": "ND",
            "postal_code": "586467100",
            "telephone_number": "701-824-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMY DRUG MOTT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "OIEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-824-2897"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "552",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070905",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020116",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOTT DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Apollonia Dental
• Jessica Beck
• Peg Crane, PT
• Laycee Crawford, LSW
• Economy Drug Mott Inc
• Kristen Lee Forster, D.D.S.
• Hettinger County Social Services
• Curtis Jahner
• Jill Kerzman, LSW
• Billie Jo Mattis, PA-C

• Community/Retail Pharmacy in Mott, ND
• Providers in Mott, ND by specialty
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.