Active NPI
Brewton Medical Center Pharmacy
- Durable Medical Equipment & Medical Supplies
- Brewton, AL
National Provider Identifier
1255405254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BREWTON MEDICAL CENTER PHARMACY
- Practice address
- 1121 Belleville Ave
Brewton, AL 36426-1500 - Phone
- (251) 867-5454
- NPI assigned
- Nov 20, 2006
- Last updated
- Sep 25, 2008
- 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 D Cottrell, PHD
- Title
- Owner
- Phone
- (251) 867-5454
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | AL | Primary |
Addresses
Primary practice location
1121 Belleville Ave
Brewton, AL 36426-1500
Mailing address
810 E Craig St
Atmore, AL 36502-3071
Phone (251) 368-2424
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Brewton, AL
- NPI 1053410977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222300800000",
"number": "1255405254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 E CRAIG ST",
"city": "ATMORE",
"state": "AL",
"postal_code": "365023071",
"telephone_number": "251-368-2424",
"fax_number": "251-368-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 BELLEVILLE AVE",
"city": "BREWTON",
"state": "AL",
"postal_code": "364261500",
"telephone_number": "251-867-5454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREWTON MEDICAL CENTER PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2008-09-25",
"status": "A",
"authorized_official_last_name": "COTTRELL",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-867-5454",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.