Organization Active NPI

Edg-Fam, Inc

Doing business as Right Drug Store

  • Pharmacy
  • Callaway, NE
National Provider Identifier
1831173319
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2095 Issued in NE
Legal business name
EDG-FAM, INC
Doing business as
Right Drug Store
Practice address
113 E Kimball St
Callaway, NE 68825-0130
Phone
(308) 836-2219
Fax
(308) 836-2625
NPI assigned
Nov 30, 2005
Last updated
Mar 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Mr. Robert Lee Edgington Sr., PHARMACIST (RP)
Title
President
Phone
(308) 836-2219

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2095 NE
Pharmacy 333600000X 2095 NE Primary

Addresses

Primary practice location

113 E Kimball St
Callaway, NE 68825-0130

Mailing address

PO Box 130
Callaway, NE 68825-0130
Phone (308) 836-2219

Other identifiers 1

IdentifierTypeStateIssuer
2802115OtherNENABP

Other names 1

  • RIGHT DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

113 E Kimball St
Callaway, NE 68825
Phone (308) 836-2219

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1831173319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "CALLAWAY",
            "state": "NE",
            "postal_code": "688250130",
            "telephone_number": "308-836-2219",
            "fax_number": "308-836-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E KIMBALL ST",
            "city": "CALLAWAY",
            "state": "NE",
            "postal_code": "688250130",
            "telephone_number": "308-836-2219",
            "fax_number": "308-836-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDG-FAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "EDGINGTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-836-2219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHARMACIST  (RP)"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "2095",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "2095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2802115",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIGHT DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Callaway, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.