SOUTHEASTERN FAMILY DRUG CENTER, INC (NPI# 1730364787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730364787 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN FAMILY DRUG CENTER, INC |
| Other Organization Name | FAMILY DRUG CENTER |
| Practice Address |
110 Manchester Shopping Ctr Manchester KY 40962-1401 |
| Practice Telephone | 6065988831 |
| Practice Fax Number | 6065988838 |
| Mailing Telephone | 6065988831 |
| Mailing Fax Number | 6065988838 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |
| Authorized Official Name | MR. DANIEL K GRAY (PRESIDENT) |
| Authorized Official Telephone | 6065988831 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PO1434 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54017116 | 05 | |
| KY | 90020264 | 05 |
| Other Name | Type Code |
|---|---|
| Family Drug Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619037181 | Southeastern Family Drug Center, Inc | Durable Medical Equipment & Medical Supplies | 214 Bridge St, Manchester, KY 40962-1204 | 2006-12-12 |
| Street Address |
110 MANCHESTER SHOPPING CTR |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144244153 | Daniel K Gray | Pharmacist | 110 Manchester Shopping Ctr, Manchester, KY 40962-1401 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619494473 | Tlc Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1621 S Highway 421 Ste 2, Manchester, KY 40962-7514 | 2017-08-23 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1477008480 | Manchester Down Home Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 Richmond Rd, Manchester, KY 40962-1294 | 2016-08-19 |
| 1487009387 | Rx Discount Pharmacy of Hazard Inc | Durable Medical Equipment & Medical Supplies | 509 Memorial Dr Ste 1, Manchester, KY 40962-6196 | 2016-04-28 |
| 1154736015 | Claim Path New Hampshire, LLC | Durable Medical Equipment & Medical Supplies | 816 Elm St # 259, Manchester, NH 03101-2105 | 2014-06-30 |
| 1861816654 | James Hradecky | Durable Medical Equipment & Medical Supplies | 816 Elm St # 248, Manchester, NH 03101-2105 | 2014-02-13 |
| 1134559768 | Manchester Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 359 Old Us Highway 421, Manchester, KY 40962-7538 | 2013-11-18 |
| 1528408705 | Midwest Practice Solutions Stl LLC | Durable Medical Equipment & Medical Supplies | 14585 Manchester Rd, Manchester, MO 63011-3963 | 2013-07-02 |
| 1982964672 | Billing Advocates, LLC | Durable Medical Equipment & Medical Supplies | 816 Elm St # 206, Manchester, NH 03101-2105 | 2012-05-29 |
| 1336430842 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4035 N George Street Ext, Manchester, PA 17345-9203 | 2011-05-02 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on SOUTHEASTERN FAMILY DRUG CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.