Airline Drug Inc

Key facts

NPI

1922526318

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

AIRLINE DRUG INC

Practice address

436 N Main St
East Longmeadow, MA 01028-1850

Phone

(413) 233-4095

NPI assigned

Sep 6, 2017

Organization subpart

No

Authorized official

Name

Mr. Clark E Matthews Jr.

Title

President

Phone

(413) 737-7456

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Louis & Clark Medical Supply Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2017.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1922526318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 EAST ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042259",
            "telephone_number": "413-737-7456",
            "fax_number": "413-737-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N MAIN ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281850",
            "telephone_number": "413-233-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLINE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-737-7456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louis & Clark Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in East Longmeadow, MA · Durable Medical Equipment & Medical Supplies in Massachusetts