Edmonson Drug Company Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EDMONSON DRUG COMPANY INC

Doing business as

Edmonson Drug Company

Practice address

100 Park Place
Ste 8
Brownsville, KY 42210-0058

Phone

(270) 975-0007

Fax

(844) 682-8099

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By 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

Dr. Trevor Vance Ray, PHARMD

Title

Secretary

Phone

(270) 589-7287

Specialties & licenses 1

Addresses

Other names 1

• Edmonson Drug Company Doing business as

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1447017033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422100058",
            "telephone_number": "270-975-0007",
            "fax_number": "844-682-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PLACE",
            "address_2": "STE 8",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422100058",
            "telephone_number": "270-975-0007",
            "fax_number": "844-682-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONSON DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "VANCE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "270-589-7287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmonson Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Dupree
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• Edmonson County Board of Education
• Edmonson Drug Company Inc (Edmonson Drug Co.)
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• Edmonson Eye Care 2016
• Edmonson Health Center LLC (Edmonson Center)
• Whitney Renee Elkins, MSN, APRN, FNP-C
• Courtney Nicole Fazel, NP
• Stephanie Jane Ferguson, PTA

• Long Term Care Pharmacy in Brownsville, KY
• Providers in Brownsville, KY by specialty
• Long Term Care Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.