Active NPI
Cottonwood Drugs LLC
- Community/Retail Pharmacy
- Cottonwood, AL
National Provider Identifier
1124467402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114137
- Legal business name
- COTTONWOOD DRUGS LLC
- Practice address
- 12890 Cottonwood Rd
Cottonwood, AL 36320-4293 - Phone
- (334) 691-3784
- NPI assigned
- Jun 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Ryan Folsom
- Title
- Owner/Pharmacist
- Phone
- (334) 691-3784
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 114137 | AL | Primary |
Addresses
Primary practice location
12890 Cottonwood Rd
Cottonwood, AL 36320-4293
Mailing address
PO Box 130
Cottonwood, AL 36320-0130
Phone (334) 691-3784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150123 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220401000580 | AL | Part B Supplier - Pharmacy | 7315333226 | Practice locations: Cottonwood, AL |
National Provider Directory
National Provider DirectoryLocations
12890 Cottonwood Rd
Cottonwood, AL 36320
Phone (334) 691-3784
13182 Cottonwood Rd
Cottonwood, AL 36320
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cottonwood, AL
- NPI 1780916957
-
- Pharmacist
- Cottonwood, AL
- NPI 1437230539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648684800000",
"number": "1124467402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "COTTONWOOD",
"state": "AL",
"postal_code": "363200130",
"telephone_number": "334-691-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12890 COTTONWOOD RD",
"city": "COTTONWOOD",
"state": "AL",
"postal_code": "363204293",
"telephone_number": "334-691-3784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COTTONWOOD DRUGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-19",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A",
"authorized_official_last_name": "FOLSOM",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "334-691-3784"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "114137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150123",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.