NPIMap

Organization Active NPI

Millry Drugs, LLC

  • Community/Retail Pharmacy
  • Millry, AL
National Provider Identifier
1407061526
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111191 Issued in AL
Legal business name
MILLRY DRUGS, LLC
Practice address
30282 Hwy 17 N
Millry, AL 36558
Phone
(251) 846-6290
Fax
(251) 846-6208
NPI assigned
May 11, 2007
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Sharon Thompson
Title
Office Manager
Phone
(251) 846-6208

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 111191 AL Primary

Addresses

Primary practice location

30282 Hwy 17 N
Millry, AL 36558

Mailing address

PO Box 199
Millry, AL 36558-0199
Phone (251) 846-6290

Other identifiers 2

IdentifierTypeStateIssuer
1994009OtherPK
100002969MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
McConaghy Drug Store 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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1407061526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 199",
            "city": "MILLRY",
            "state": "AL",
            "postal_code": "365580199",
            "telephone_number": "251-846-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30282 HWY 17 N",
            "city": "MILLRY",
            "state": "AL",
            "postal_code": "36558",
            "telephone_number": "251-846-6290",
            "fax_number": "251-846-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLRY DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-846-6208"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994009",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002969",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millry, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.