Organization Active NPI

McConaghy Drug Store Inc

Doing business as Millry Drugs

  • Oxygen Equipment & Supplies (DME)
  • Millry, AL
National Provider Identifier
1528273737
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
111191 Issued in AL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0127983OtherALNCPDP
100002969MedicaidAL

Other names 1

  • Millry Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.