Active NPI
Morocco Drugs Inc
Doing business as Fagen Pharmacy 9
- Pharmacy
- Morocco, IN
National Provider Identifier
1760403083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 60003224
- Legal business name
- MOROCCO DRUGS INC
- Doing business as
- Fagen Pharmacy 9
- Practice address
- 505 S Polk
Morocco, IN 47963-0010 - Phone
- (219) 285-2670
- Fax
- (219) 285-8288
- NPI assigned
- Jul 21, 2006
- Last updated
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie Coffer
- Title
- 3Rd Party Coord
- Phone
- (219) 987-6468
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 60003224 | IN | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
505 S Polk
Morocco, IN 47963-0010
Mailing address
PO Box 9830
Fagen Pharmacy
Salt Lake City, UT 84109-9913
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100300060 | Medicaid | IN | |
| 1523910 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- FAGEN PHARMACY 9
National Provider Directory
National Provider DirectoryLocations
505 S Polk St
Morocco, IN 47963
Phone (219) 285-2670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1760403083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9830",
"address_2": "FAGEN PHARMACY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841099913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S POLK",
"city": "MOROCCO",
"state": "IN",
"postal_code": "479630010",
"telephone_number": "219-285-2670",
"fax_number": "219-285-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOROCCO DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "COFFER",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "3RD PARTY COORD",
"authorized_official_telephone_number": "219-987-6468"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IN",
"license": "60003224",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100300060",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1523910",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAGEN PHARMACY 9",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morocco, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.