Active NPI
Prater Drug Inc
- Pharmacy
- Salyersville, KY
National Provider Identifier
1780855023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- P00834
- Legal business name
- PRATER DRUG INC
- Practice address
- 49 South Church Street
Salyersville, KY 41465-0068 - Phone
- (606) 349-3135
- Fax
- (606) 349-3512
- NPI assigned
- Mar 14, 2008
- Last updated
- Feb 4, 2019
- 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
- Patricia Frazier
- Title
- Owner
- Phone
- (606) 349-3135
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P00834 | KY | |
| Pharmacy | 333600000X | P00834 | KY | Primary |
| Community/Retail Pharmacy | 3336C0003X | P00834 | KY |
Addresses
Primary practice location
49 South Church Street
Salyersville, KY 41465-0068
Mailing address
PO Box 68
Salyersville, KY 41465-0068
Phone (606) 349-3135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90005257 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549238400000",
"number": "1780855023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "SALYERSVILLE",
"state": "KY",
"postal_code": "414650068",
"telephone_number": "606-349-3135",
"fax_number": "606-349-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 SOUTH CHURCH STREET",
"city": "SALYERSVILLE",
"state": "KY",
"postal_code": "414650068",
"telephone_number": "606-349-3135",
"fax_number": "606-349-3512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRATER DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2019-02-04",
"status": "A",
"authorized_official_last_name": "FRAZIER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-349-3135"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P00834",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": "P00834",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P00834",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90005257",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salyersville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.