Active NPI
McConaghy Drug Store Inc
Doing business as Millry Drugs
- Oxygen Equipment & Supplies (DME)
- Millry, AL
National Provider Identifier
1528273737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 111191
- Legal business name
- MCCONAGHY DRUG STORE INC
- Doing business as
- Millry Drugs
- Practice address
- 30282 Hwy 17
Millry, AL 36558 - Phone
- (251) 846-6290
- Fax
- (251) 846-6208
- NPI assigned
- May 11, 2007
- Last updated
- Feb 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dan C McConaghy, RPH
- Title
- VP
- Phone
- (251) 846-6290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 111191 | AL | Primary |
Addresses
Primary practice location
30282 Hwy 17
Millry, AL 36558
Mailing address
P.O.Box 199
30282 Hwy 17
Millry, AL 36558
Phone (251) 846-6290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0127983 | Other | AL | NCPDP |
| 100002969 | Medicaid | AL |
Other names 1
- Millry Drugs
National Provider Directory
National Provider DirectoryLocations
179A S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3964
30282 Highway 17
Millry, AL 36558
Phone (251) 846-6290
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": "1297814400000",
"number": "1528273737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 199",
"address_2": "30282 HWY 17",
"city": "MILLRY",
"state": "AL",
"postal_code": "36558",
"telephone_number": "251-846-6290",
"fax_number": "251-846-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30282 HWY 17",
"city": "MILLRY",
"state": "AL",
"postal_code": "36558",
"telephone_number": "251-846-6290",
"fax_number": "251-846-6208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCONAGHY DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2011-02-16",
"status": "A",
"authorized_official_last_name": "MCCONAGHY",
"authorized_official_first_name": "DAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "251-846-6290",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AL",
"license": "111191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0127983",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002969",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Millry Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.