Prater Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

P00834 Issued in KY

Legal business name

PRATER DRUG INC

Practice address

49 South Church Street
Salyersville, KY 41465-0068

Phone

(606) 349-3135

Fax

(606) 349-3512

NPI assigned

Apr 18, 2006

Last updated

Feb 4, 2019By 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

Patricia Frazier

Title

Owner

Phone

(606) 349-3135

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1386609972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414650068",
            "telephone_number": "606-349-3135",
            "fax_number": "606-349-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SOUTH CHURCH STREET",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414650068",
            "telephone_number": "606-349-3135",
            "fax_number": "606-349-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-349-3135"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": "P00834",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P00834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPS-DT",
            "identifier": "45543493",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54005780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkway Pharmacy, Inc. (Parkway Pharmacy)
• Kristen Leigh Pass, RPH
• Sarah Ann Patrick, ARNP
• Mike Lawerence Pickle, PTA
• Prater Borders Elementary School
• Prater Drug Inc
• Kristen Predmore, APRN, PMHNP-BC
• Misty Dawn Puckett, CSW
• Jeffery L. Ramey, MHA
• Beth Ann Ratliff, DMD

• Pharmacy in Salyersville, KY
• Providers in Salyersville, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.