Organization Active NPI

MC Services Inc

  • Community/Retail Pharmacy
  • Enterprise, AL
National Provider Identifier
1386659993
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
106520 Issued in AL
Legal business name
MC SERVICES INC
Doing business as
MARTIN COLLEY DRUGS
Practice address
204 E Brunson St
Enterprise, AL 36330-1922
Phone
(334) 347-6865
Fax
(334) 393-0679
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Paul Russell, RPH
Title
Owner
Phone
(334) 347-6865

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 106520 AL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

204 E Brunson St
Enterprise, AL 36330-1922

Mailing address

PO Box 311688
Enterprise, AL 36331-1688

Other identifiers 2

IdentifierTypeStateIssuer
100000272MedicaidAL
0106256OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MARTIN COLLEY DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

204 E Brunson St
Enterprise, AL 36330
Phone (334) 347-6865

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1386659993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311688",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363311688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E BRUNSON ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301922",
            "telephone_number": "334-347-6865",
            "fax_number": "334-393-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-347-6865",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "106520",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000272",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0106256",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTIN COLLEY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.