Organization Active NPI

Payless Pharmacy Express 1

  • Pharmacy
  • Decatur, AL
National Provider Identifier
1073659322
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
107545 Issued in AL
Legal business name
PAYLESS PHARMACY EXPRESS 1
Practice address
2122 Danville Rd. S.W.
Decatur, AL 35601
Phone
(256) 351-7006
Fax
(256) 351-7410
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
John Christopher Matthews
Title
RPH/Owner
Phone
(256) 351-7006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 107545 AL Primary

Addresses

Primary practice location

2122 Danville Rd. S.W.
Decatur, AL 35601

Mailing address

2122 Danville Rd. S.W.
Decatur, AL 35601
Phone (256) 351-7006

Other identifiers 1

IdentifierTypeStateIssuer
100002538MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Payless Pharmacy Express3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1073659322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 DANVILLE RD. S.W.",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-351-7006",
            "fax_number": "256-351-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 DANVILLE RD. S.W.",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-351-7006",
            "fax_number": "256-351-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYLESS PHARMACY EXPRESS 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "256-351-7006"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "107545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002538",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.