McCoy's Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

8454 Issued in OR

Legal business name

MCCOY'S PHARMACY INC

Practice address

632 E Main St
Cottage Grove, OR 97424-2038

Phone

(541) 942-4453

Fax

(541) 942-4454

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Antonino Debysingh, RPH

Title

President

Phone

(541) 942-4453

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MCCOY'S PHARMACY & GIFT SHOP Other name

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1972609584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 E MAIN ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242038",
            "telephone_number": "541-942-4453",
            "fax_number": "541-942-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 E MAIN ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242038",
            "telephone_number": "541-942-4453",
            "fax_number": "541-942-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "DEBYSINGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTONINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-942-4453",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "8454",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "8454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119578",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3801481",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCOY'S PHARMACY & GIFT SHOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tammy L McClung, D.D.S.
• John McClure, QMHA
• Howard Keith McConnell, PHD
• Patricia McConnell
• Cynthia Lynn McCourt
• Emilio Michael Aaron McCutcheon
• Logan James McGhan, MD
• David John McIntyre, MSW, LCSW
• Shalene McMurray, PTA
• Thomas Melia, QMHP

• Pharmacist in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.