Bourbon Drugs Inc
Bourbon Drugs Inc is a healthcare organization registered as Community/Retail Pharmacy in Bourbon, MO, holding Type 2 (organization) NPI 1649391020 since 2007. The authorized official on file is Thomas Burnett, Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649391020 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bourbon Drugs Inc |
| Other name | <Unavail> |
| Practice address | 386 E PINE ST, Bourbon, MO, 65441 |
| Phone | 5737324921 |
| Fax | 5737323640 |
| Enumeration date | 2007-04-03 |
| Last updated in NPPES | 2011-10-10 |
Authorized official
| Name | Thomas Burnett |
|---|---|
| Title | Pic |
| Phone | 5737324921 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 005285 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600247431 | Medicaid | MO | — |
| 2614926 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Bourbon Drugs Inc NPI: 1649391020 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 386 E PINE ST, Bourbon, MO, 65441
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093131757 | Alan Lane | Individual | Pharmacist | Bourbon, MO |
Verify this record
Cross-check NPI 1649391020 against the authoritative CMS record: view Bourbon Drugs Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Bourbon Drugs Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-10-10.