Organization Active NPI

Dunaway Drug Stores, Inc.

Doing business as Dunaway's Imperial Pharmacy

  • Pharmacy
  • Henderson, KY
National Provider Identifier
1619950615
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
846 Issued in KY
Legal business name
DUNAWAY DRUG STORES, INC.
Doing business as
Dunaway's Imperial Pharmacy
Practice address
110 3Rd St
Henderson, KY 42420-2993
Phone
(270) 826-6565
Fax
(270) 830-0083
NPI assigned
Nov 22, 2005
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mr. James Dunaway, R.PH.NPI 1063524379
Title
President Pharmacist
Phone
(270) 826-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X 846 KY Primary

Addresses

Primary practice location

110 3Rd St
Henderson, KY 42420-2993

Mailing address

110 3Rd St
Henderson, KY 42420-2993
Phone (270) 826-6565

Other names 1

  • Dunaway's Imperial Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930076464 KY DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 9638296403 Practice locations: Henderson, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dunaways Imperial Pharmacy110 3Rd St, Henderson, KY 42420-2995(270) 826-6565 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Traction Equipment|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological S… Accepts assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory

Locations

110 3rd St
Ste 240
Henderson, KY 42420
Phone (270) 826-6565

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1619950615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 3RD ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202993",
            "telephone_number": "270-826-6565",
            "fax_number": "270-830-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 3RD ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202993",
            "telephone_number": "270-826-6565",
            "fax_number": "270-830-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNAWAY DRUG STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "DUNAWAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "270-826-6565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunaway's Imperial Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.