Organization Active NPI

Cottrell's Hometown Pharmacy PC

Doing business as Cottrell's Hometown Pharmacy

  • Community/Retail Pharmacy
  • East Brewton, AL
National Provider Identifier
1285105668
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COTTRELL'S HOMETOWN PHARMACY PC
Doing business as
Cottrell's Hometown Pharmacy
Practice address
305 Forrest Ave
East Brewton, AL 36426-2620
Phone
(251) 809-1010
Fax
(251) 241-0020
NPI assigned
Dec 11, 2018
Last updated
Jan 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Mr. Charles D Cottrell, R.PH
Title
Owner
Phone
(251) 809-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

305 Forrest Ave
East Brewton, AL 36426-2620

Mailing address

PO Box 259
Brewton, AL 36427-0259
Phone (251) 809-1010

Other names 1

  • Cottrell's Hometown Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2196663Cottrell's Hometown Pharmacy305 Forrest Avenue, Brewton, AL 36426Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

305 Forrest Ave
East Brewton, AL 36426
Phone (251) 809-1010

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": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1285105668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364270259",
            "telephone_number": "251-809-1010",
            "fax_number": "251-241-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FORREST AVE",
            "city": "EAST BREWTON",
            "state": "AL",
            "postal_code": "364262620",
            "telephone_number": "251-809-1010",
            "fax_number": "251-241-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTRELL'S HOMETOWN PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2019-01-22",
        "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": "251-809-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottrell's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cottrell's Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Brewton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.