Active NPI
Hebson Drug Co, Inc.
- Pharmacist
- Sylacauga, AL
National Provider Identifier
1376635516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 107440
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109872 | Other | AL | NCPDP NUMBER (NABP) |
| 1-00000552 | Medicaid | AL |
Other names 1
- Palace Drug Co.
National Provider Directory
National Provider DirectoryLocations
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.