William Martin Beasley Sr.

Individual provider Active NPI Pharmacist · Clayton, AL

NPI 1275690448 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1275690448
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6041 (AL)
Practice address
23 Court Square
Clayton, AL 36016-0220
Phone
(334) 775-3442
Fax
(334) 775-7711
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6041ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Pharmacy LLC Past Accepting new patients
Phillips Drug Company LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6041 AL Yes

Addresses

Primary practice location

23 Court Square
Clayton, AL 36016-0220

Mailing address

PO Box 220
Clayton, AL 36016-0220
Phone (334) 775-3442

Other providers in Clayton, AL

All providers in Clayton, AL · Pharmacist in Alabama

Sources for this page

Verify at the official NPI Registry.