Organization Active NPI

Brewton Medical Center Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Brewton, AL
National Provider Identifier
1255405254
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Charles D Cottrell, PHDNPI 1053410977
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)CodeLicenseStatePrimary
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 Directory

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": "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.

Verify at the official NPI Registry.