Organization Active NPI

Mason Pharmacist Group LLC

  • Community/Retail Pharmacy
  • Maysville, KY
National Provider Identifier
1497900732
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07317 Issued in KY
Legal business name
MASON PHARMACIST GROUP LLC
Doing business as
Mason Family Drug
Practice address
912 Kenton Station Dr
Maysville, KY 41056-9658
Phone
(606) 759-0700
Fax
(606) 759-0708
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Sherry Stevens
Title
Office Manager
Phone
(859) 498-0136

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X P07317 KY
Community/Retail Pharmacy 3336C0003X P07317 KY Primary

Addresses

Primary practice location

912 Kenton Station Dr
Maysville, KY 41056-9658

Mailing address

912 Kenton Station Dr
Maysville, KY 41056-9658
Phone (606) 759-0700

Other identifiers 1

IdentifierTypeStateIssuer
1830961OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Mason Family Drug Doing business as

National Provider Directory

National Provider Directory

Locations

912 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0700

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1497900732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569658",
            "telephone_number": "606-759-0700",
            "fax_number": "606-759-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569658",
            "telephone_number": "606-759-0700",
            "fax_number": "606-759-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON PHARMACIST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "859-498-0136"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "P07317",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1830961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Family Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.