NPIMap

Organization Active NPI

Brown Drug Co Inc

  • Community/Retail Pharmacy
  • Maplesville, AL
National Provider Identifier
1467655472
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
109598 Issued in AL
Legal business name
BROWN DRUG CO INC
Practice address
9081 Hwy 22 South
Maplesville, AL 36750
Phone
(334) 366-2425
Fax
(334) 366-2456
NPI assigned
Jun 7, 2007
Last updated
Jan 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Mark Conradi, RPHNPI 1649578584
Title
Pic,Ao
Phone
(334) 366-2425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 109598 AL Primary

Addresses

Primary practice location

9081 Hwy 22 South
Maplesville, AL 36750

Mailing address

PO Box 145
Maplesville, AL 36750-0145
Phone (334) 366-2425

Other identifiers 2

IdentifierTypeStateIssuer
2122964OtherPK
115198MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109001185 AL Part B Supplier - Pharmacy 3971573817 3 other NPIs on this enrollment
Practice locations: Maplesville, AL; Selma, AL; Uniontown, AL; Valley Grande, AL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Brown Drug Co Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9081 AL Highway 22
Maplesville, AL 36750
Phone (334) 366-2425

Practitioners & affiliated clinicians

Practitioners 2

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1467655472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "MAPLESVILLE",
            "state": "AL",
            "postal_code": "367500145",
            "telephone_number": "334-366-2425",
            "fax_number": "334-366-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9081 HWY 22 SOUTH",
            "city": "MAPLESVILLE",
            "state": "AL",
            "postal_code": "36750",
            "telephone_number": "334-366-2425",
            "fax_number": "334-366-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "CONRADI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PIC,AO",
        "authorized_official_telephone_number": "334-366-2425",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "109598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122964",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115198",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplesville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.