Organization Active NPI

Prater Drug Inc

  • Pharmacy
  • Salyersville, KY
National Provider Identifier
1780855023
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P00834 Issued in KY
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90005257MedicaidKY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.