Copeland Pharmaceutical Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114022 Issued in AL

Legal business name

COPELAND PHARMACEUTICAL SERVICES LLC

Doing business as

City Pharmacy of Russellville

Practice address

14001 Highway 43
Ste 13
Russellville, AL 35653-2848

Phone

(256) 331-1919

Fax

(256) 331-1960

NPI assigned

Dec 26, 2012

Last updated

May 3, 2013By 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

Grant Copeland

Title

Owner

Phone

(256) 616-3311

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City Pharmacy of Russellville Doing business as

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1154667970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OLD CAPE DR",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356745216",
            "telephone_number": "256-616-3311",
            "fax_number": "256-389-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 HIGHWAY 43",
            "address_2": "STE 13",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532848",
            "telephone_number": "256-331-1919",
            "fax_number": "256-331-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPELAND PHARMACEUTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-616-3311"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138439",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144805",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Pharmacy of Russellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Shane Campbell, O.D.
• Corazon G. Castillo, M.D.
• Chenyi Jeffrey Chenyi, MD
• Colbert Laboratory Inc
• Zakery Colburn
• Andrea Shay Corley, CRNP
• Cottages Russellville, LLC (Country Cottage)
• Molly Cox, CRNP
• Alexandria K Craig, CRNP
• Donna Charlene Crandell, M.D.

• Community/Retail Pharmacy in Russellville, AL
• Providers in Russellville, 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 May 3, 2013; 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.