City Drugs of Grove Hill, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

102420 Issued in AL

Legal business name

CITY DRUGS OF GROVE HILL, INC.

Practice address

123 S. Jackson St
Grove Hill, AL 36451

Phone

(251) 275-3416

Fax

(251) 275-8190

NPI assigned

Oct 4, 2006

Last updated

Oct 8, 2008By 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

Mr. Dale D. Harris, R.PH.

Title

President, Manager

Phone

(251) 275-3512

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1467547562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S. JACKSON ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "36451",
            "telephone_number": "251-275-3416",
            "fax_number": "251-275-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S. JACKSON ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "36451",
            "telephone_number": "251-275-3416",
            "fax_number": "251-275-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUGS OF GROVE HILL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT, MANAGER",
        "authorized_official_telephone_number": "251-275-3512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "102420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000506",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000050259",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie B Brooks, FNP
• Stephanie Brown
• Latasha R Burroughs, RN
• Dewey Rex Chalk, D.C.
• Jonathan Chaney
• City Drugs of Grove Hill, Inc.
• Clarke County
• Clarke County Health Dept Adult Immun
• Clarke County Health Dept AIDS
• Clarke County Health Dept Child

• Community/Retail Pharmacy in Grove Hill, AL
• Providers in Grove Hill, AL by specialty
• Community/Retail Pharmacy in Alabama

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