Organization Active NPI

Beaty Drug Company, Inc

  • Pharmacist
  • Jasper, AL
National Provider Identifier
1073662276
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

201 19th St E
Jasper, AL 35501
Phone (205) 387-1403

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
009936978MedicaidAL

Other names 1

NPPES NPI Registry
  • Hospital Discount Medical Supply Doing business as

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.

Verify at the official NPI Registry.