Organization Active NPI

McConaghy Drug , Inc

  • Community/Retail Pharmacy
  • Mount Vernon, AL
National Provider Identifier
1841366481
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
107035 Issued in AL
Legal business name
MCCONAGHY DRUG , INC
Practice address
19390 Hwy 43 and Mildred Street
Mount Vernon, AL 36560
Phone
(251) 829-5436
Fax
(251) 829-6668
NPI assigned
Nov 27, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dan McConaghy, RPH
Title
CFL
Phone
(251) 675-2070

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

National Provider Directory

National Provider Directory

Locations

7771 Highway 43
Mc Intosh, AL 36553
Phone (251) 944-2563

19390 Highway 43
Mount Vernon, AL 36560
Phone (251) 829-5436

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 107035 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

19390 Hwy 43 and Mildred Street
Mount Vernon, AL 36560

Mailing address

PO Box 160
Mount Vernon, AL 36560-0160

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1990464OtherPK
100001489MedicaidAL

Other names 1

NPPES NPI Registry
  • MOUNT VERNON PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2021.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1841366481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "365600160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19390 HWY 43 AND MILDRED STREET",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "36560",
            "telephone_number": "251-829-5436",
            "fax_number": "251-829-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCONAGHY DRUG , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "MCCONAGHY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CFL",
        "authorized_official_telephone_number": "251-675-2070",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "107035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001489",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT VERNON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOUNT VERNON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.