Organization Active NPI

Northcutts Drug Company Inc

  • Pharmacist
  • Dothan, AL
National Provider Identifier
1265503825
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5454 Issued in AL
Legal business name
NORTHCUTTS DRUG COMPANY INC
Practice address
1774 W Main St
Dothan, AL 36301-1318
Phone
(334) 793-9538
Fax
(334) 677-0898
NPI assigned
Nov 13, 2006
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. Clarence Glenn Northcutt, R.PH.
Title
President
Phone
(334) 793-9538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5454 AL Primary

Addresses

Primary practice location

1774 W Main St
Dothan, AL 36301-1318

Mailing address

PO Box 219
Dothan, AL 36302-0219
Phone (334) 793-9538

National Provider Directory

National Provider Directory

Locations

1774 W Main St
Dothan, AL 36301
Phone (334) 793-9538

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265503825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363020219",
            "telephone_number": "334-793-9538",
            "fax_number": "334-677-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011318",
            "telephone_number": "334-793-9538",
            "fax_number": "334-677-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCUTTS DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-793-9538",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "5454",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.