1952735276 NPI number — YORK DRUG, INC

Table of content: (NPI 1952735276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952735276 NPI number — YORK DRUG, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YORK DRUG, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
YD HOME MEDICAL EQUIPMENT & SUPPLIES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952735276
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
583 4TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36925-2008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-392-5201
Provider Business Mailing Address Fax Number:
205-392-7006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
96 COURT SQUARE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARROLLTON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35447-0478
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-367-1234
Provider Business Practice Location Address Fax Number:
205-367-2110
Provider Enumeration Date:
08/22/2013

Additional Information

Authorized Official

Authorized Official Last Name:
BEARD
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
205-392-5201

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  2052 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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