NPIMap

Organization Active NPI

City Drugs Inc

  • Pharmacist
  • Doniphan, MO
National Provider Identifier
1679625347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
004478 Issued in MO
Legal business name
CITY DRUGS INC
Practice address
111 Leroux St
Doniphan, MO 63935-1038
Phone
(573) 996-2311
Fax
(573) 996-7415
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Kenneth Delbert Knowlton, R.PH.
Title
Manager
Phone
(573) 996-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 004478 MO Primary

Addresses

Primary practice location

111 Leroux St
Doniphan, MO 63935-1038

Mailing address

111 Leroux St
Doniphan, MO 63935-1038
Phone (573) 996-2311

Other identifiers 1

IdentifierTypeStateIssuer
2605991OtherMONABP NUMBER

National Provider Directory

National Provider Directory
Tax ID family
City Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679625347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LEROUX ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351038",
            "telephone_number": "573-996-2311",
            "fax_number": "573-996-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LEROUX ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351038",
            "telephone_number": "573-996-2311",
            "fax_number": "573-996-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOWLTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DELBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-996-2311",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "004478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "2605991",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doniphan, 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.