Frisco City Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113345 Issued in AL

Legal business name

FRISCO CITY PHARMACY, LLC

Practice address

3749 Bowden St
Frisco City, AL 36445-3655

Phone

(251) 267-2111

Fax

(251) 267-2117

NPI assigned

Jan 28, 2010

Last updated

Jan 28, 2010By 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

Mr. Desak HicksNPI 1396981312

Title

Owner

Phone

(251) 267-2111

Specialties & licenses 1

Addresses

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.

• Desak G Hicks, RPH

  • Durable Medical Equipment & Medical Supplies
  • Coffeeville, AL
  • NPI 1396981312

  Community/Retail Pharmacy

  NPD Authorized official

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1124359286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 BOWDEN ST",
            "city": "FRISCO CITY",
            "state": "AL",
            "postal_code": "364453655",
            "telephone_number": "251-267-2111",
            "fax_number": "251-267-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 BOWDEN ST",
            "city": "FRISCO CITY",
            "state": "AL",
            "postal_code": "364453655",
            "telephone_number": "251-267-2111",
            "fax_number": "251-267-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO CITY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DESAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-267-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy H. Beatty, CRNP
• Charlotte Davis
• Franklin Primary Health Center, Inc (Frisco City Family Medical Center)
• Kayla Northern
• Eva C Schell, C.R.N.P.
• Cary Neil Silcox, DMD
• Darlu Lambert Taylor, LPC
• Tri County Medical Center, Inc (Frisco City Medical Center)

• Community/Retail Pharmacy in Frisco City, AL
• Providers in Frisco City, 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 Jan 28, 2010; 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.