Brewton Medical Center Pharmacy PC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22158 Issued in AL

Legal business name

BREWTON MEDICAL CENTER PHARMACY PC

Practice address

1121 Belleville Ave
Brewton, AL 36426-1500

Phone

(251) 867-5454

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Charles Daniel Cottrell

Title

Owner/Pic

Phone

(251) 802-0387

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

Brewton Medical Center Pharmacy P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brewton Medical Center Pharmacy PC

  • Community/Retail Pharmacy
  • Flomaton, AL
  • NPI 1396151924
  NPD tax ID

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1265639348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 BELLEVILLE AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261500",
            "telephone_number": "251-867-5454"
        },
        {
            "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 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "251-802-0387"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "22158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000228",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mollie Bowers, LGSW
• Robert Andrew Brewer, MS
• Brewton City
• Brewton Dental Care LLC
• Brewton Medical Center Pharmacy
• Brewton Medical Center, LLC
• C B McInnish, OD PA
• Andria P Caldwell, DDS
• Laura S Coleman
• Katrina Lynette Coley, MS, ALC

• Community/Retail Pharmacy in Brewton, AL
• Providers in Brewton, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.

Verify at the official NPI Registry.