Organization Active NPI

Fallon Family Drug, Inc.

  • Pharmacy
  • Lovelock, NV
National Provider Identifier
1609955186
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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.NPI 1467231175
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.