Organization Active NPI

Bynum Drug Inc

  • Pharmacy
  • Eastaboga, AL
National Provider Identifier
1366509051
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
102005 Issued in AL
Legal business name
BYNUM DRUG INC
Practice address
8749 Al Highway 202
Eastaboga, AL 36260
Phone
(256) 237-7533
Fax
(256) 237-7537
NPI assigned
Jan 2, 2007
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Ms. Amanda K. Guinn, PHARMACIST
Title
Pharmacist
Phone
(256) 237-7533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 102005 AL Primary

Addresses

Primary practice location

8749 Al Highway 202
Eastaboga, AL 36260

Mailing address

PO Box 368
Bynum, AL 36253
Phone (256) 237-7533

Other identifiers 1

IdentifierTypeStateIssuer
100001234MedicaidAL

National Provider Directory

National Provider Directory

Locations

8749 AL Highway 202
Eastaboga, AL 36260
Phone (256) 237-7533

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1366509051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "BYNUM",
            "state": "AL",
            "postal_code": "36253",
            "telephone_number": "256-237-7533",
            "fax_number": "256-237-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8749 AL HIGHWAY 202",
            "city": "EASTABOGA",
            "state": "AL",
            "postal_code": "36260",
            "telephone_number": "256-237-7533",
            "fax_number": "256-237-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYNUM DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "256-237-7533",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "102005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001234",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastaboga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.