Organization Active NPI

Morgan Drug Store,Inc.

  • Pharmacy
  • Pineville, KY
National Provider Identifier
1376627638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PO7032 Issued in KY
Legal business name
MORGAN DRUG STORE,INC.
Practice address
123 S Walnut St
Pineville, KY 40977-1619
Phone
(606) 337-3041
Fax
(606) 337-0820
NPI assigned
Oct 24, 2006
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. Denny Bruce Overton, RPHNPI 1235213505
Title
President
Phone
(606) 337-3041

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PO7032 KY Primary

Addresses

Primary practice location

123 S Walnut St
Pineville, KY 40977-1619

Mailing address

Pobox 69
123 South Walnut St.
Pineville, KY 40977-0069
Phone (606) 337-3041

Other identifiers 2

IdentifierTypeStateIssuer
5400024500MedicaidKY
1808027OtherKY3RD PARTY NABP NUMBER

National Provider Directory

National Provider Directory

Locations

123 S Walnut St
Pineville, KY 40977
Phone (606) 337-3041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376627638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POBOX 69",
            "address_2": "123 SOUTH WALNUT ST.",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409770069",
            "telephone_number": "606-337-3041",
            "fax_number": "606-337-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S WALNUT ST",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771619",
            "telephone_number": "606-337-3041",
            "fax_number": "606-337-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN DRUG STORE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-337-3041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "PO7032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5400024500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3RD PARTY NABP NUMBER",
            "identifier": "1808027",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

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.