K L Arnold Enterprises Inc

Organization Active NPI Community/Retail Pharmacy · Cullman, AL

NPI 1154712685 · NPPES record last updated Feb 18, 2016

Key facts

NPI
1154712685
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
114451 (AL)
Legal business name
K L ARNOLD ENTERPRISES INC
Practice address
1726 Cherokee Ave SW Ste a
Cullman, AL 35055-5383
Phone
(256) 775-7455
Fax
(256) 381-8065
NPI assigned
Feb 5, 2015
Organization subpart
No

Authorized official

Name
KL Arnold
Title
Owner
Phone
(256) 775-7455

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
KL Arnold Enterprises Inc (4 organizations share this tax ID)

Locations

1726 Cherokee Ave SW
Ste A
Cullman, AL 35055
Phone (256) 775-7455

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 114451 AL Yes
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1726 Cherokee Ave SW Ste a
Cullman, AL 35055-5383

Mailing address

1001 Avalon Ave
Muscle Shoals, AL 35661-2401
Phone (256) 775-7455

Other identifiers

IdentifierTypeStateIssuer
170102MedicaidAL
2150218OtherPK

Other names

  • VILLAGE DISCOUNT DRUGS - CULLMAN Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 18, 2016.

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1154712685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612401",
            "telephone_number": "256-775-7455",
            "fax_number": "256-381-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 CHEROKEE AVE SW STE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555383",
            "telephone_number": "256-775-7455",
            "fax_number": "256-381-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K L ARNOLD ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-775-7455"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114451",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170102",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE DISCOUNT DRUGS - CULLMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

All providers in Cullman, AL · Community/Retail Pharmacy in Alabama

Sources for this page

Verify at the official NPI Registry.