Active NPI
Charles Daniel Cottrell, R.PH.
- Pharmacist
- Brewton, AL
National Provider Identifier
1053410977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9836
- Practice address
- 1121 Belleville Ave
Brewton, AL 36426-1500 - Phone
- (251) 867-5454
- Fax
- (251) 867-6117
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9836 | AL | Primary |
Addresses
Primary practice location
1121 Belleville Ave
Brewton, AL 36426-1500
Mailing address
2110 Wildwood Dr
Brewton, AL 36426-2938
Phone (251) 867-5454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101775 | Other | AL | NABP PHARMACY # |
| 10000228 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9836 | AL | MD | Pharmacist |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Brewton, AL
- NPI 1255405254
-
- Community/Retail Pharmacy
- Brewton, AL
- NPI 1265639348
-
dba Flomaton Medical Center Pharmacy
- Community/Retail Pharmacy
- Flomaton, AL
- NPI 1396151924
-
dba Health Clinic Pharmacy
- Community/Retail Pharmacy
- Mobile, AL
- NPI 1598022188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053410977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 WILDWOOD DR",
"city": "BREWTON",
"state": "AL",
"postal_code": "364262938",
"telephone_number": "251-867-5454",
"fax_number": "251-867-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 BELLEVILLE AVE",
"city": "BREWTON",
"state": "AL",
"postal_code": "364261500",
"telephone_number": "251-867-5454",
"fax_number": "251-867-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "CHARLES",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "9836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP PHARMACY #",
"identifier": "0101775",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10000228",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brewton, AL
- C B McInnish, OD PA
- Andria P Caldwell, DDS
- Laura S Coleman
- Katrina Lynette Coley, MS, ALC
- Donna Conway
- D. W. McMillan Memorial Hospital
- D. W. McMillan Memorial Hospital
- D. W. McMillan Memorial Hospital (D. W. McMillan Home Health)
- D.W. McMillan Memorial Hospital (D W McMillan Medical Center)
- D.W. McMillan Memorial Hospital / Escambia County Health Authority (D.W. McMillan Memorial Hospital / Escambia County Health Aut)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.