Active NPI
Ferguson Drug
- Durable Medical Equipment & Medical Supplies
- Willow Springs, MO
National Provider Identifier
1366645343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FERGUSON DRUG
- Practice address
- 101 E Main St
Willow Springs, MO 65793-1413 - Phone
- (417) 469-3005
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Norman
- Title
- Owner Pharmacist
- Phone
- (417) 469-3005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
101 E Main St
Willow Springs, MO 65793-1413
Mailing address
101 E Main St
P.O. Box 278
Willow Springs, MO 65793-1413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620128702 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240963200000",
"number": "1366645343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E MAIN ST",
"address_2": "P.O. BOX 278",
"city": "WILLOW SPRINGS",
"state": "MO",
"postal_code": "657931413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E MAIN ST",
"city": "WILLOW SPRINGS",
"state": "MO",
"postal_code": "657931413",
"telephone_number": "417-469-3005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERGUSON DRUG",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2009-04-29",
"status": "A",
"authorized_official_last_name": "NORMAN",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "417-469-3005"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620128702",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willow Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.