Organization Active NPI

The Drug Shop LLC

  • Pharmacist
  • Russellville, AL
National Provider Identifier
1235198730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
110481 Issued in AL
Legal business name
THE DRUG SHOP LLC
Practice address
104 Montgomery St SW
Russellville, AL 35653
Phone
(256) 332-3022
Fax
(256) 332-3036
NPI assigned
Mar 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jimmy Greg LaneNPI 1154647287
Title
Owner RPH
Phone
(256) 332-4021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 110481 AL Primary

Addresses

Primary practice location

104 Montgomery St SW
Russellville, AL 35653

Mailing address

104 Montgomery St SW
Russellville, AL 35653
Phone (256) 332-3022

Other identifiers 1

IdentifierTypeStateIssuer
0109430OtherNCPDP

National Provider Directory

National Provider Directory

Locations

104 Montgomery St SW
Russellville, AL 35653
Phone (256) 332-3022

Practitioners & affiliated clinicians

Practitioners 1

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235198730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MONTGOMERY ST SW",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "35653",
            "telephone_number": "256-332-3022",
            "fax_number": "256-332-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MONTGOMERY ST SW",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "35653",
            "telephone_number": "256-332-3022",
            "fax_number": "256-332-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DRUG SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "OWNER RPH",
        "authorized_official_telephone_number": "256-332-4021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "110481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0109430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.