Organization Active NPI

Peoples Drugs & Variety,Inc.

  • Community/Retail Pharmacy
  • Cherokee, AL
National Provider Identifier
1588674170
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
107670 Issued in AL
Legal business name
PEOPLES DRUGS & VARIETY,INC.
Practice address
8260 Highway 72
Cherokee, AL 35616-4402
Phone
(256) 359-6242
Fax
(256) 359-4652
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Ms. Tracy Chesteen Wix, RPHNPI 1992855803
Title
Owner-President
Phone
(256) 359-6242

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 107670 AL Primary

Addresses

Primary practice location

8260 Highway 72
Cherokee, AL 35616-4402

Mailing address

8260 Highway 72
PO Box J
Cherokee, AL 35616-4402
Phone (256) 359-6242

Other identifiers 2

IdentifierTypeStateIssuer
51098591OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
009999850MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1588674170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 HIGHWAY 72",
            "address_2": "PO BOX J",
            "city": "CHEROKEE",
            "state": "AL",
            "postal_code": "356164402",
            "telephone_number": "256-359-6242",
            "fax_number": "256-359-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 HIGHWAY 72",
            "city": "CHEROKEE",
            "state": "AL",
            "postal_code": "356164402",
            "telephone_number": "256-359-6242",
            "fax_number": "256-359-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES DRUGS & VARIETY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "WIX",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "CHESTEEN",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "256-359-6242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "107670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51098591",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009999850",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.