Active NPI
Parks Avenue Drugs
- Community/Retail Pharmacy
- Scottsboro, AL
National Provider Identifier
1588062004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114439
- Legal business name
- PARKS AVENUE DRUGS
- Practice address
- 410 Parks Ave Ste F
Scottsboro, AL 35768-2437 - Phone
- (256) 999-0410
- Fax
- (256) 999-0411
- NPI assigned
- Dec 16, 2014
- 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
- William Haney
- Title
- Supervisor Pharmacist
- Phone
- (256) 999-0410
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 114439 | AL | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
410 Parks Ave Ste F
Scottsboro, AL 35768-2437
Mailing address
410 Parks Ave Ste F
Scottsboro, AL 35768-2437
Phone (256) 999-0410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149300 | Other | PK |
Other names 1
- Parks Avenue Drugs
National Provider Directory
National Provider DirectoryLocations
410 Parks Ave
Ste F
Scottsboro, AL 35768
Phone (256) 244-0960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Scottsboro, AL
- NPI 1124425798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418688000000",
"number": "1588062004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 PARKS AVE STE F",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682437",
"telephone_number": "256-999-0410",
"fax_number": "256-999-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 PARKS AVE STE F",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682437",
"telephone_number": "256-999-0410",
"fax_number": "256-999-0411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKS AVENUE DRUGS",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-16",
"last_updated": "2014-12-16",
"status": "A",
"authorized_official_last_name": "HANEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "SUPERVISOR PHARMACIST",
"authorized_official_telephone_number": "256-999-0410"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "114439",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2149300",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parks Avenue Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.