NPIMap

Organization Active NPI

Mogans Drugs Store Incorporated

Doing business as Grand Valley Drug

  • Community/Retail Pharmacy
  • Orwell, OH
National Provider Identifier
1982759635
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020709700 Issued in OH
Legal business name
MOGANS DRUGS STORE INCORPORATED
Doing business as
Grand Valley Drug
Practice address
11 N Maple St
Orwell, OH 44076-9516
Phone
(440) 437-5151
Fax
(440) 437-8672
NPI assigned
Jan 24, 2007
Last updated
Dec 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Authorized official

Name
Kevin Snyder, RPH
Title
Owner
Phone
(440) 437-5151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 020709700 OH Primary

Addresses

Primary practice location

11 N Maple St
Orwell, OH 44076-9516

Mailing address

PO Box 395
Orwell, OH 44076-0395

Other names 1

  • GRAND VALLEY DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand Valley Drug3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1982759635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "ORWELL",
            "state": "OH",
            "postal_code": "440760395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAPLE ST",
            "city": "ORWELL",
            "state": "OH",
            "postal_code": "440769516",
            "telephone_number": "440-437-5151",
            "fax_number": "440-437-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOGANS DRUGS STORE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-437-5151",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020709700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND VALLEY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orwell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.