MUSTANG DRUG INC (NPI# 1225142292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225142292 |
| Entity Type | Organization |
| Organization Name | MUSTANG DRUG INC |
| Other Organization Name | MUSTANG DRUG |
| Practice Address |
704 C South Hwy 59 Anderson MO 64831 |
| Mailing Address |
Po Box 418 Anderson MO 64831-0418 |
| Practice Telephone | 4178457799 |
| Practice Fax Number | 4178457797 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | MICHAEL THORTON (PRESIDENT) |
| Authorized Official Telephone | 4178457799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1999140201 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2048293 | 01 | |
| MO | 604754101 | 05 |
| Other Name | Type Code |
|---|---|
| MUSTANG DRUG | Doing Business As Name - Organization |
| Street Address |
704 C SOUTH HWY 59 |
| City | ANDERSON |
| State | MO |
| Zip Code | 64831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806492 | Ronna Layne Duncan | Occupational Therapist | 734 Industrial Dr, Anderson, MO 64831 | 2019-08-15 |
| 1578961652 | Heidsha L Peterson | Dental Hygienist | 927 N 71 Business Hwy, Anderson, MO 64831 | 2014-12-05 |
| 1851794796 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 224 E Hwy 76, Anderson, MO 64831 | 2014-10-07 |
| 1194141317 | Rebecca A Bender | Nurse Practitioner | 510 Park Street, Anderson, MO 64831 | 2014-03-12 |
| 1205161726 | Kimberly Ann George | Dental Assistant | 508 W. Hwy. 71, Anderson, MO 64831 | 2009-10-16 |
| 1720240500 | Camille Reynaud Hatcher | Dental Hygienist | 508 W 76 Highway, Anderson, MO 64831 | 2008-07-02 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| 1043252646 | Freeman Oak Hill Health System | Ambulance | 510 A Park St, Anderson, MO 64831 | 2006-06-11 |
| Find all providers in zip 64831 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659808996 | Ingles Markets Inc | Pharmacy | 2404 N Highway 81, Anderson, SC 29621-2505 | 2017-05-17 |
| 1598215626 | Pharmasave Rx | Pharmacy | 4638 S Scatterfield Rd, Anderson, IN 46013-2900 | 2016-10-13 |
| 1285826974 | Ingles Markets Inc | Pharmacy | 4396 Highway 24, Anderson, SC 29626-5212 | 2007-08-16 |
| 1710102553 | Dixon Powers Drugs | Pharmacy | 805 N Fant St, Anderson, SC 29621-5707 | 2007-04-16 |
| 1164508941 | Prescription Shop,inc. | Pharmacy | 1217 N Fant St, Anderson, SC 29621-4821 | 2006-10-27 |
| 1568565273 | Ohio Cvs Stores LLC | Pharmacy | 7500 Beechmont Ave, Anderson, OH 45255-4206 | 2006-09-07 |
| 1679676449 | South Carolina Cvs Pharmacy LLC | Pharmacy | 922 Hwy 28 By Pass, Anderson, SC 29625 | 2006-09-07 |
| 1114020898 | Hook Superx LLC | Pharmacy | 265 S Scatterfield Rd, Anderson, IN 46012-5106 | 2006-09-07 |
| 1366459323 | Walgreen Co | Pharmacy | 108 Highway 28 Byp, Anderson, SC 29624-3742 | 2006-08-02 |
| 1184639270 | Walgreen Co | Pharmacy | 2539 W Whitner St, Anderson, SC 29624-1146 | 2006-07-29 |
| Find all providers in ANDERSON | ||||
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| 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.