Airline Drug Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AIRLINE DRUG INC

Doing business as

Louis & Clark Medical Supply

Practice address

980 Poquonnock Rd
Groton, CT 06340-4259

Phone

(860) 440-7444

Fax

(860) 446-9127

NPI assigned

Mar 24, 2017

Last updated

Mar 24, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

AIRLINE DRUG INCAs reported in NPPES

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

Authorized official

Name

Mr. Clark E Matthews Jr.

Title

President

Phone

(413) 737-7456

Specialties & licenses 1

Addresses

Other names 1

• Louis & Clark Medical Supply Doing business as

Part of

Louis Clark Drug 878

Locations

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1659802239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404259",
            "telephone_number": "860-440-7444",
            "fax_number": "860-446-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404259",
            "telephone_number": "860-440-7444",
            "fax_number": "860-446-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLINE DRUG INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIRLINE DRUG INC",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-737-7456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louis & Clark Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim L. Adams, BA
• Sharon J Adams, PT
• George Dennis Adrian, O.D.
• Advanced Back and Neck Care Center LLC
• Ron A. Agostini, P.T.
• Jared E. Akers, IDC
• Eguono Voke Akpoduado, PSY.D.
• Therese Alexander-Ssebagala, LCSW
• Jean E Allbee-Roberson, M.S., LMFT
• Veronica Alleyne, LCSW

• Durable Medical Equipment & Medical Supplies in Groton, CT
• Providers in Groton, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.