Organization Active NPI

Beaty Drug Company Inc

  • Community/Retail Pharmacy
  • Jasper, AL
National Provider Identifier
1053404129
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
102015 Issued in AL
Legal business name
BEATY DRUG COMPANY INC
Practice address
201 19TH St E
Jasper, AL 35501-5457
Phone
(205) 387-1403
Fax
(205) 387-1418
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Shannon Beaty
Title
Owner
Phone
(205) 387-1403

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 102015 AL Primary

Addresses

Primary practice location

201 19TH St E
Jasper, AL 35501-5457

Mailing address

201 19TH St E
Jasper, AL 35501-5457
Phone (205) 387-1403

Other identifiers 2

IdentifierTypeStateIssuer
1988758OtherPK
10003619MedicaidAL

Other names 1

  • HOSPITAL DISCOUNT PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210204002302 AL Part B Supplier - Mass Immunization (Roster Biller Only) 6204910987 Practice locations: Jasper, AL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1053404129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015457",
            "telephone_number": "205-387-1403",
            "fax_number": "205-387-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015457",
            "telephone_number": "205-387-1403",
            "fax_number": "205-387-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATY DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-19",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-387-1403"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "102015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988758",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10003619",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITAL DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOSPITAL DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.