Organization Active NPI

E & D Drugs,Inc.

  • Pharmacist
  • Poplar Bluff, MO
National Provider Identifier
1629103643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
006030 Issued in MO
Legal business name
E & D DRUGS,INC.
Practice address
909 W Pine St
Suite 1
Poplar Bluff, MO 63901-4958
Phone
(573) 785-0984
Fax
(573) 785-2557
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary M. Simmons, R.PH.NPI 1104961515
Title
President-Owner
Phone
(573) 785-0984

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 006030 MO Primary

Addresses

Primary practice location

909 W Pine St
Suite 1
Poplar Bluff, MO 63901-4958

Mailing address

909 W Pine St
Suite 1
Poplar Bluff, MO 63901-4958
Phone (573) 785-0984

Other names 1

  • DILLE'S DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

909 W Pine St
Ste 1
Poplar Bluff, MO 63901
Phone (573) 785-0984

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629103643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W PINE ST",
            "address_2": "SUITE 1",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014958",
            "telephone_number": "573-785-0984",
            "fax_number": "573-785-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W PINE ST",
            "address_2": "SUITE 1",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014958",
            "telephone_number": "573-785-0984",
            "fax_number": "573-785-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & D DRUGS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "573-785-0984",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "006030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DILLE'S DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.