NPIMap

Organization Active NPI

Steves Discount Drugs Inc

Doing business as Steves Discount Drugs

  • Community/Retail Pharmacy
  • Moulton, AL
National Provider Identifier
1205920345
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
109235 Issued in AL
Legal business name
STEVES DISCOUNT DRUGS INC
Doing business as
Steves Discount Drugs
Practice address
11809 Al Highway 157
Suite a
Moulton, AL 35650-2707
Phone
(256) 974-7663
Fax
(256) 905-0320
NPI assigned
Oct 3, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Tom Arnold
Title
Pharmacist
Phone
(256) 974-7663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 109235 AL Primary

Addresses

Primary practice location

11809 Al Highway 157
Suite a
Moulton, AL 35650-2707

Mailing address

11809 Al Highway 157
Suite a
Moulton, AL 35650-2707

Other identifiers 2

IdentifierTypeStateIssuer
1991001OtherPK
100001959MedicaidAL

Other names 1

  • STEVES DISCOUNT DRUGS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200713000742 AL Part B Supplier - Pharmacy 6103943055 Practice locations: Moulton, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Steve's Discount Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

11809 AL Highway 157
Ste A
Moulton, AL 35650
Phone (256) 974-7663

Practitioners & affiliated clinicians

Practitioners 5

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1205920345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 AL HIGHWAY 157",
            "address_2": "SUITE A",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356502707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 AL HIGHWAY 157",
            "address_2": "SUITE A",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356502707",
            "telephone_number": "256-974-7663",
            "fax_number": "256-905-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVES DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "256-974-7663"
    },
    "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": "109235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001959",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEVES DISCOUNT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.