Organization Active NPI

Whitaker Drugs LLC

  • Community/Retail Pharmacy
  • Camden, AL
National Provider Identifier
1164966859
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114682 Issued in AL
Legal business name
WHITAKER DRUGS LLC
Practice address
20 Camden Byp
Camden, AL 36726-1770
Phone
(334) 682-9990
Fax
(334) 682-9991
NPI assigned
Dec 14, 2016
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Charles WhitakerNPI 1144556424
Title
Pharmacist
Phone
(334) 456-1589

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 114682 AL Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

20 Camden Byp
Camden, AL 36726-1770

Mailing address

20 Camden Byp
Camden, AL 36726-1770
Phone (334) 682-9990

Other identifiers 2

IdentifierTypeStateIssuer
194179MedicaidAL
2166834OtherPK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170621002670 AL Part B Supplier - Mass Immunization (Roster Biller Only) 0749558435 Practice locations: Camden, AL

National Provider Directory

National Provider Directory

Locations

20 Camden Byp
Camden, AL 36726
Phone (334) 682-9990

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1164966859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261770",
            "telephone_number": "334-682-9990",
            "fax_number": "334-682-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261770",
            "telephone_number": "334-682-9990",
            "fax_number": "334-682-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITAKER DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "334-456-1589"
    },
    "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": "114682",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194179",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.