Organization Active NPI

Hebson Drug Co, Inc.

  • Pharmacist
  • Sylacauga, AL
National Provider Identifier
1376635516
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
107440 Issued in AL
Legal business name
HEBSON DRUG CO, INC.
Doing business as
Palace Drug Co.
Practice address
216 N Broadway Ave
Sylacauga, AL 35150-2526
Phone
(256) 245-4381
Fax
(256) 245-4383
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Frederick Thomas Hebson, RPH
Title
Owner Pharmacist
Phone
(256) 245-4381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 107440 AL Primary

Addresses

Primary practice location

216 N Broadway Ave
Sylacauga, AL 35150-2526

Mailing address

216 N Broadway Ave
Sylacauga, AL 35150-2526
Phone (256) 245-4381

Other identifiers 2

IdentifierTypeStateIssuer
0109872OtherALNCPDP NUMBER (NABP)
1-00000552MedicaidAL

Other names 1

  • Palace Drug Co. Doing business as

National Provider Directory

National Provider Directory

Locations

216 N Broadway Ave
Sylacauga, AL 35150
Phone (256) 245-4381

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1376635516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N BROADWAY AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502526",
            "telephone_number": "256-245-4381",
            "fax_number": "256-245-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N BROADWAY AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502526",
            "telephone_number": "256-245-4381",
            "fax_number": "256-245-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBSON DRUG CO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HEBSON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "256-245-4381",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "107440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER (NABP)",
            "identifier": "0109872",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-00000552",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palace Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.