Active NPI
Daphne Pharmacy LLC
- Community/Retail Pharmacy
- Daphne, AL
National Provider Identifier
1184069189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114106
- Legal business name
- DAPHNE PHARMACY LLC
- Doing business as
- Daphne Pharmacy
- Practice address
- 2101 US Highway 98
Ste K
Daphne, AL 36526-4295 - Phone
- (251) 509-0616
- Fax
- (251) 509-0620
- NPI assigned
- May 3, 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
- Charles Cottrell
- Title
- President
- Phone
- (251) 509-0616
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 114106 | AL | Primary |
Addresses
Primary practice location
2101 US Highway 98
Ste K
Daphne, AL 36526-4295
Mailing address
2101 US Highway 98
Ste K
Daphne, AL 36526-4295
Phone (251) 509-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2140413 | Other | PK |
Other names 1
- Daphne Pharmacy
National Provider Directory
National Provider DirectoryLocations
2101 US Highway 98
Ste K
Daphne, AL 36526
Phone (251) 509-0616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369958400000",
"number": "1184069189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 US HIGHWAY 98",
"address_2": "STE K",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264295",
"telephone_number": "251-509-0616",
"fax_number": "251-509-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 US HIGHWAY 98",
"address_2": "STE K",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264295",
"telephone_number": "251-509-0616",
"fax_number": "251-509-0620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAPHNE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-03",
"last_updated": "2013-05-31",
"status": "A",
"authorized_official_last_name": "COTTRELL",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-509-0616"
},
"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": "114106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140413",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Daphne Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.