Organization Active NPI

Morocco Drugs Inc

Doing business as Fagen Pharmacy 9

  • Pharmacy
  • Morocco, IN
National Provider Identifier
1760403083
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
60003224 Issued in IN
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100300060MedicaidIN
1523910OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • FAGEN PHARMACY 9 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.