Organization Active NPI

Brewton Medical Center Pharmacy

Doing business as Greenlawn Home Care

  • Oxygen Equipment & Supplies (DME)
  • Atmore, AL
National Provider Identifier
1053516997
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BREWTON MEDICAL CENTER PHARMACY
Doing business as
Greenlawn Home Care
Practice address
810 E Craig St
Atmore, AL 36502-3071
Phone
(251) 368-2424
Fax
(251) 368-0359
NPI assigned
Jun 20, 2007
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mr. Charles Danny Cottrell, RPH
Title
Owner
Phone
(251) 368-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X AL Primary

Addresses

Primary practice location

810 E Craig St
Atmore, AL 36502-3071

Mailing address

810 E Craig St
Atmore, AL 36502-3071
Phone (251) 368-2424

Other names 1

  • GREENLAWN HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

810 E Craig St
Atmore, AL 36502
Phone (251) 368-2424

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1053516997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E CRAIG ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023071",
            "telephone_number": "251-368-2424",
            "fax_number": "251-368-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E CRAIG ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023071",
            "telephone_number": "251-368-2424",
            "fax_number": "251-368-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWTON MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-368-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENLAWN HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.