Active NPI
Fallon Family Drug, Inc.
- Pharmacy
- Lovelock, NV
National Provider Identifier
1609955186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- FALLON FAMILY DRUG, INC.
- Practice address
- 325 11TH Street, Number 2
Lovelock, NV 89419 - Phone
- (775) 273-1700
- Fax
- (775) 273-9013
- NPI assigned
- Nov 3, 2006
- Last updated
- Sep 6, 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. Grant S. Moulton, R.PH.
- Title
- President
- Phone
- (775) 426-9385
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NV | Primary |
Addresses
Primary practice location
325 11TH Street, Number 2
Lovelock, NV 89419
Mailing address
5424 Oakwood Cir
Fallon
Fallon, NV 89406-4272
Phone (775) 426-9385
Other names 1
- Fallon Family United Drug
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- St George, UT
- NPI 1467231175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315267200000",
"number": "1609955186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5424 OAKWOOD CIR",
"address_2": "FALLON",
"city": "FALLON",
"state": "NV",
"postal_code": "894064272",
"telephone_number": "775-426-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 11TH STREET, NUMBER 2",
"city": "LOVELOCK",
"state": "NV",
"postal_code": "89419",
"telephone_number": "775-273-1700",
"fax_number": "775-273-9013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALLON FAMILY DRUG, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2011-09-06",
"status": "A",
"authorized_official_last_name": "MOULTON",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-426-9385",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fallon Family United Drug",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lovelock, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.