Southeastern Family Drug Center, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PO1434 Issued in KY

Legal business name

SOUTHEASTERN FAMILY DRUG CENTER, INC

Doing business as

Family Drug Center

Practice address

110 Manchester Shopping Ctr
Manchester, KY 40962-1401

Phone

(606) 598-8831

Fax

(606) 598-8838

NPI assigned

Jan 8, 2008

Last updated

Jan 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel K Gray, R.PHNPI 1144244153

Title

President

Phone

(606) 598-8831

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Drug Center Doing business as

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.

• Daniel K Gray, RPH

  • Pharmacist
  • Manchester, KY
  • NPI 1144244153
  Authorized official Same address or phone

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1730364787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MANCHESTER SHOPPING CTR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409621401",
            "telephone_number": "606-598-8831",
            "fax_number": "606-598-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MANCHESTER SHOPPING CTR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409621401",
            "telephone_number": "606-598-8831",
            "fax_number": "606-598-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN FAMILY DRUG CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-598-8831",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "PO1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54017116",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90020264",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Drug Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzann Smith, APRN
• Tara Lee Smith, APRN
• Tonya Smith, PT
• Smith's Hometown Family Practice, LLC
• Southeastern Family Drug Center, Inc (Family Drug Center 3)
• Southeastern Medical Supply LLC
• Amber Sowders, OTR/L
• Dinah Lynn Sowders, SLP
• Star Bright, LLC
• Steven D. Spady

• Durable Medical Equipment & Medical Supplies in Manchester, KY
• Providers in Manchester, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.