McConaghy Drug Store, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MCCONAGHY DRUG STORE, INC

Doing business as

McIntosh Drugs

Practice address

61 River Rd
McIntosh, AL 36553

Phone

(251) 944-8227

Fax

(251) 944-8226

NPI assigned

Dec 1, 2006

Last updated

Nov 24, 2021By 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

Mr. Randy Ward DavidsonNPI 1134297120

Title

DME Director

Phone

(251) 944-8227

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• McIntosh Drugs Doing business as

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.

• Millry Drugs, LLC

  • Community/Retail Pharmacy
  • Millry, AL
  • NPI 1407061526
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randy Ward Davidson, PHT

  • Pharmacy Technician
  • McIntosh, AL
  • NPI 1134297120
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1457429144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MC INTOSH",
            "state": "AL",
            "postal_code": "365530247",
            "telephone_number": "251-944-8227",
            "fax_number": "251-944-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 RIVER RD",
            "city": "MCINTOSH",
            "state": "AL",
            "postal_code": "36553",
            "telephone_number": "251-944-8227",
            "fax_number": "251-944-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCONAGHY DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "DME DIRECTOR",
        "authorized_official_telephone_number": "251-944-8227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "106354",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": "106354",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000054843",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McIntosh Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McIntosh Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Huguette Douyon, D.O.
• Encore Rehabilitation Inc (Encore Rehab of McIntosh)
• Richard Barry Gaston, CRNP
• Breanna Rena Johnston
• Elizabeth Rae Johnston
• McIntosh Rescue Squad, Inc.
• R. Michael Robinson, DMD, PC
• Rodney Michael Robinson, D.M.D.
• Phillip Roger Stover, M.D.
• Robbie L. Stringer, CRNP

• Pharmacy in McIntosh, AL
• Providers in McIntosh, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.