Organization Active NPI

C & S Pharmacy Inc.

  • Community/Retail Pharmacy
  • Scottsboro, AL
National Provider Identifier
1093735920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112699 Issued in AL
Legal business name
C & S PHARMACY INC.
Doing business as
Big C Drugs Skyline
Practice address
21549 Al Highway 79
Scottsboro, AL 35768-5917
Phone
(256) 587-3332
Fax
(256) 587-3352
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dexter Erwin Cordes, RPH
Title
President/RPH
Phone
(256) 587-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 112699 AL Primary

Addresses

Primary practice location

21549 Al Highway 79
Scottsboro, AL 35768-5917

Mailing address

21549 Al Highway 79
Scottsboro, AL 35768-5917
Phone (256) 587-3332

Other identifiers 1

IdentifierTypeStateIssuer
0133330OtherNCPDP

Other names 1

  • Big C Drugs Skyline Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093735920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21549 AL HIGHWAY 79",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357685917",
            "telephone_number": "256-587-3332",
            "fax_number": "256-587-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21549 AL HIGHWAY 79",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357685917",
            "telephone_number": "256-587-3332",
            "fax_number": "256-587-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDES",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT/RPH",
        "authorized_official_telephone_number": "256-587-3332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0133330",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big C Drugs Skyline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.