Beasley Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

110551 Issued in AL

Legal business name

BEASLEY PHARMACY INC

Doing business as

Beasley Pharmacy

Practice address

111 E Church St
Columbia, AL 36319-0614

Phone

(334) 696-4611

Fax

(334) 696-4669

NPI assigned

Sep 20, 2006

Last updated

Sep 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Breanna North, PHARM.D.NPI 1073199782

Title

Supervising Pharm

Phone

(334) 696-4611

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BEASLEY PHARMACY 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, and the practitioner matching its NPPES authorized official.

• Breanna North I, PHARMD

  • Pharmacist
  • Columbia, AL
  • NPI 1073199782
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1083711477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "COLUMBIA",
            "state": "AL",
            "postal_code": "363190614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CHURCH ST",
            "city": "COLUMBIA",
            "state": "AL",
            "postal_code": "363190614",
            "telephone_number": "334-696-4611",
            "fax_number": "334-696-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEASLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "SUPERVISING PHARM",
        "authorized_official_telephone_number": "334-696-4611",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "110551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988611",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039160",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEASLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEASLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haleburg Rescue Squad Inc
• Lanora Medley, RN, CDE
• Breanna North I, PHARMD
• Town of Columbia (Columbia Ambulance Rescue Emergency Squad)
• Alexia Leighann Wise

• Community/Retail Pharmacy in Columbia, AL
• Providers in Columbia, 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 Sep 30, 2021; 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.