Sand Drug Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SAND DRUG INC

Doing business as

Payless Pharmacy

Practice address

1206 7TH St SE
Decatur, AL 35601-3338

Phone

(256) 353-5011

Fax

(256) 355-5152

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blake Lee GowenNPI 1982741401

Title

Pharmacist in Charge

Phone

(256) 353-5011

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PAYLESS PHARMACY Doing business as

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

CLIA laboratory certificates

Tax ID family

Sand Drug Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sand Drug Inc

  dba Pay-Less Drive-in Pharmacy

  • Community/Retail Pharmacy
  • Decatur, AL
  • NPI 1154461200
  NPD tax ID
• Sand Drugs Inc

  dba Pay-Less Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Decatur, AL
  • NPI 1154354181
  NPD tax ID

Locations

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.

• Blake Lee Gowen, R.PH.

  • Pharmacist
  • Decatur, AL
  • NPI 1982741401
  Authorized official Same address or phone

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1316410863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013338",
            "telephone_number": "256-353-5011",
            "fax_number": "256-355-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013338",
            "telephone_number": "256-353-5011",
            "fax_number": "256-355-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "GOWEN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "256-353-5011"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003745",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAYLESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh A. Rutledge, RD
• Lew B. Sample, DMD, MS, PC
• Joji Samuel, PHARMD
• Kimberly Samuel, FNP
• Sand Drug Inc (Pay-Less Drive-in Pharmacy)
• Sand Drugs Inc (Pay-Less Pharmacy)
• Lisa Annette Sanders
• Sarah E Sanders, RBT-22-226965
• Katrina Sanderson
• Randall L. Sandlin, DMD

• Long Term Care Pharmacy in Decatur, AL
• Providers in Decatur, AL by specialty
• Long Term Care Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.