NPIMap

Organization Active NPI

Generic Pharmacy

  • Community/Retail Pharmacy
  • Dothan, AL
National Provider Identifier
1003921024
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112840 Issued in AL
Legal business name
GENERIC PHARMACY
Practice address
2115 E Main St
Ste 3
Dothan, AL 36301-3044
Phone
(334) 671-3784
Fax
(334) 671-0181
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Strickland, RPH
Title
Owner
Phone
(334) 671-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 112840 AL Primary

Addresses

Primary practice location

2115 E Main St
Ste 3
Dothan, AL 36301-3044

Mailing address

2115 E Main St
Ste 3
Dothan, AL 36301-3044

Other identifiers 1

IdentifierTypeStateIssuer
0134003OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

2115 E Main St
Ste 3
Dothan, AL 36301
Phone (334) 671-3784

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003921024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 E MAIN ST",
            "address_2": "STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E MAIN ST",
            "address_2": "STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013044",
            "telephone_number": "334-671-3784",
            "fax_number": "334-671-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-671-3784",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0134003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.