NPIMap

Organization Active NPI

Montgomery Drug Company Inc

  • Community/Retail Pharmacy
  • Montgomery, AL
National Provider Identifier
1033423199
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113429 Issued in AL
Legal business name
MONTGOMERY DRUG COMPANY INC
Practice address
7200 Copperfield Dr
Ste a
Montgomery, AL 36117-7100
Phone
(334) 386-9370
Fax
(334) 386-9371
NPI assigned
Aug 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Chris Phung
Title
Pharmacist in Charge
Phone
(334) 272-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 113429 AL Primary

Addresses

Primary practice location

7200 Copperfield Dr
Ste a
Montgomery, AL 36117-7100

Mailing address

7200 Copperfield Dr
Ste a
Montgomery, AL 36117-7100
Phone (334) 386-9370

Other identifiers 1

IdentifierTypeStateIssuer
0136641OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Adams Drugs-Copperfield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160913001314 AL Part B Supplier - Pharmacy 2860648284 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montgomery, AL; Wetumpka, AL; Prattville, AL; Millbrook, AL; Deatsville, AL

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Drug Company Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7200 Copperfield Dr
Ste A
Montgomery, AL 36117
Phone (334) 386-9370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1033423199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 COPPERFIELD DR",
            "address_2": "STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177100",
            "telephone_number": "334-386-9370",
            "fax_number": "334-386-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 COPPERFIELD DR",
            "address_2": "STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177100",
            "telephone_number": "334-386-9370",
            "fax_number": "334-386-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-01",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "334-272-0802"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0136641",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Drugs-Copperfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.