Active NPI
Beaty Drug Company Inc
- Community/Retail Pharmacy
- Jasper, AL
National Provider Identifier
1053404129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 102015
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1988758 | Other | PK | |
| 10003619 | Medicaid | AL |
Other names 1
- HOSPITAL DISCOUNT PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210204002302 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 6204910987 | Practice locations: Jasper, AL |
National Provider Directory
National Provider DirectoryNPI 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.