NPIMap

Organization Active NPI

Wiregrass Drugs Inc

Doing business as Medical Arts Pharmacy

  • Pharmacist
  • Butler, AL
National Provider Identifier
1508832932
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
110125 Issued in AL
Legal business name
WIREGRASS DRUGS INC
Doing business as
Medical Arts Pharmacy
Practice address
313 E Pushmataha St
Butler, AL 36904-2533
Phone
(205) 459-3710
Fax
(205) 459-3970
NPI assigned
Feb 25, 2006
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Tracy C Alligood
Title
Corporate Secretary
Phone
(229) 435-4571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 110125 AL Primary

Addresses

Primary practice location

313 E Pushmataha St
Butler, AL 36904-2533

Mailing address

PO Box 72188
Albany, GA 31708-2188
Phone (229) 435-4571

Other identifiers 3

IdentifierTypeStateIssuer
00105418OtherALNABP
009999460MedicaidAL
100001121MedicaidAL

Other names 1

  • Medical Arts Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231018003788 AL Part B Supplier - Pharmacy 8628195112 Practice locations: Butler, AL

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Center Drugs12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1508832932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72188",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317082188",
            "telephone_number": "229-435-4571",
            "fax_number": "229-317-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E PUSHMATAHA ST",
            "city": "BUTLER",
            "state": "AL",
            "postal_code": "369042533",
            "telephone_number": "205-459-3710",
            "fax_number": "205-459-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ALLIGOOD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "229-435-4571"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "110125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "00105418",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009999460",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001121",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.