Active NPI
Brannon Stand Drugs, Inc.
- Community/Retail Pharmacy
- Dothan, AL
National Provider Identifier
1225447485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BRANNON STAND DRUGS, INC.
- Practice address
- 1971 S Brannon Stand Rd
Suite 1
Dothan, AL 36305-7180 - Phone
- (334) 446-5300
- Fax
- (334) 446-3122
- NPI assigned
- Aug 12, 2014
- 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
- Dr. Kevin A Taylor, PHARMD
- Title
- Supervising Pharmacist
- Phone
- (850) 326-1525
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1971 S Brannon Stand Rd
Suite 1
Dothan, AL 36305-7180
Mailing address
1971 S Brannon Stand Rd
Suite 1
Dothan, AL 36305-7180
Phone (334) 446-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165755 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181029000659 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527311174 | Practice locations: Dothan, AL |
National Provider Directory
National Provider DirectoryLocations
1971 S Brannon Stand Rd
Ste 1
Dothan, AL 36305
Phone (334) 446-5300
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Dothan, AL
- NPI 1457760720
-
- Pharmacist
- Dothan, AL
- NPI 1821722372
-
- Pharmacist
- Dothan, AL
- NPI 1720819071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652054400000",
"number": "1225447485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1971 S BRANNON STAND RD",
"address_2": "SUITE 1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363057180",
"telephone_number": "334-446-5300",
"fax_number": "334-446-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 S BRANNON STAND RD",
"address_2": "SUITE 1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363057180",
"telephone_number": "334-446-5300",
"fax_number": "334-446-3122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANNON STAND DRUGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-12",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "850-326-1525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165755",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.