NPIMap

Organization Active NPI

Valley Healthcare

Doing business as Russellville Drugs

  • Community/Retail Pharmacy
  • Russellville, AL
National Provider Identifier
1609270842
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114426 Issued in AL
Legal business name
VALLEY HEALTHCARE
Doing business as
Russellville Drugs
Practice address
14001 Highway 43
Ste 13
Russellville, AL 35653-2848
Phone
(256) 331-1919
Fax
(256) 331-1960
NPI assigned
Oct 17, 2014
Last updated
May 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Wes Mayfield
Title
Owner
Phone
(256) 412-8288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 114426 AL Primary

Addresses

Primary practice location

14001 Highway 43
Ste 13
Russellville, AL 35653-2848

Mailing address

14001 Highway 43
Ste 13
Russellville, AL 35653-2848
Phone (256) 331-1919

Other identifiers 2

IdentifierTypeStateIssuer
167263MedicaidAL
2148486OtherPK

Other names 1

  • Russellville Drugs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franklin Discount Drugs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1609270842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 HIGHWAY 43",
            "address_2": "STE 13",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532848",
            "telephone_number": "256-331-1919",
            "fax_number": "256-331-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 HIGHWAY 43",
            "address_2": "STE 13",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532848",
            "telephone_number": "256-331-1919",
            "fax_number": "256-331-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "WES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-412-8288"
    },
    "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": "114426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167263",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russellville Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.