NPIMap

Organization Active NPI

Brown Drug Co Inc

Doing business as Valley Grande Pharmacy

  • Community/Retail Pharmacy
  • Valley Grande, AL
National Provider Identifier
1164438370
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112784 Issued in AL
Legal business name
BROWN DRUG CO INC
Doing business as
Valley Grande Pharmacy
Practice address
7171 Al Highway 22 N
Valley Grande, AL 36701-9309
Phone
(334) 875-2271
Fax
(334) 875-2273
NPI assigned
Jul 31, 2006
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Mike Collins
Title
Pharmacist in Charge
Phone
(334) 875-2271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 112784 AL Primary

Addresses

Primary practice location

7171 Al Highway 22 N
Valley Grande, AL 36701-9309

Mailing address

7171 Al Highway 22 N
Valley Grande, AL 36701-9309
Phone (334) 875-2271

Other identifiers 2

IdentifierTypeStateIssuer
1995865OtherPK
100003697MedicaidAL

Other names 1

  • VALLEY GRANDE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109001185 AL Part B Supplier - Pharmacy 3971573817 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Maplesville, AL; Selma, AL; Uniontown, AL; Valley Grande, AL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Brown Drug Co Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1164438370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 AL HIGHWAY 22 N",
            "city": "VALLEY GRANDE",
            "state": "AL",
            "postal_code": "367019309",
            "telephone_number": "334-875-2271",
            "fax_number": "334-875-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 AL HIGHWAY 22 N",
            "city": "VALLEY GRANDE",
            "state": "AL",
            "postal_code": "367019309",
            "telephone_number": "334-875-2271",
            "fax_number": "334-875-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "334-875-2271"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995865",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003697",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY GRANDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Grande, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.