Active NPI
Beaty Drug Company, Inc
- Pharmacist
- Jasper, AL
National Provider Identifier
1073662276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- BEATY DRUG COMPANY, INC
- Practice address
- 201 19TH St E
Jasper, AL 35501-5457 - Phone
- (205) 387-1403
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Dustin J Beaty
- Title
- Owner
- Phone
- (205) 387-1403
National Provider Directory
National Provider Directory- Tax ID family
- Beaty Drug Company Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Jasper, AL
- NPI 1902074925
Locations
201 19th St E
Jasper, AL 35501
Phone (205) 387-1403
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009936978 | Medicaid | AL |
Other names 1
NPPES NPI Registry- Hospital Discount Medical Supply
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 6, 2012.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341532800000",
"number": "1073662276",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEATY DRUG COMPANY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2012-07-06",
"status": "A",
"authorized_official_last_name": "BEATY",
"authorized_official_first_name": "DUSTIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-387-1403",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009936978",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospital Discount Medical Supply",
"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 Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.