Organization Active NPI

Killen Drugs Inc

Doing business as Killen Corner Drugs

  • Community/Retail Pharmacy
  • Killen, AL
National Provider Identifier
1104831734
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
105810 Issued in AL
Legal business name
KILLEN DRUGS INC
Doing business as
Killen Corner Drugs
Practice address
1621 Highway 72
Killen, AL 35645-9142
Phone
(256) 757-2166
Fax
(256) 757-9580
NPI assigned
Jul 30, 2006
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Jennifer Spry, RPH
Title
Vice President
Phone
(256) 757-2166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 105810 AL Primary

Addresses

Primary practice location

1621 Highway 72
Killen, AL 35645-9142

Mailing address

PO Box 57
Killen, AL 35645-0057

Other identifiers 2

IdentifierTypeStateIssuer
100000822MedicaidAL
0107854OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • KILLEN CORNER DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180822003739 AL Part B Supplier - Mass Immunization (Roster Biller Only) 9638428725 Practice locations: Killen, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1104831734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356450057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 HIGHWAY 72",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459142",
            "telephone_number": "256-757-2166",
            "fax_number": "256-757-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEN DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "SPRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "256-757-2166",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "105810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000822",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0107854",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KILLEN CORNER DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killen, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.