Esb Investments LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113893 Issued in AL

Legal business name

ESB INVESTMENTS LLC

Doing business as

Center Drugs of Daleville

Practice address

181 Highway 84 W
Daleville, AL 36322-9113

Phone

(334) 598-4242

Fax

(334) 598-4240

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Stacy BoucherNPI 1588267587

Title

Owner/President/Pharmacist

Phone

(334) 763-0146

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Center Drugs of Daleville Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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

• Stacy Boucher, PHARMD

  • Pharmacist
  • Daleville, AL
  • NPI 1588267587
  NPD Authorized official

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1053679860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 HIGHWAY 84 W",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "363229113",
            "telephone_number": "334-598-4242",
            "fax_number": "334-598-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 HIGHWAY 84 W",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "363229113",
            "telephone_number": "334-598-4242",
            "fax_number": "334-598-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESB INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "334-763-0146"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113893",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134906",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137765",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Drugs of Daleville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Daleville, AL
• Providers in Daleville, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.