Beauregard Drugs Inc

Key facts

NPI

1639424328

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

113939 (AL)

Legal business name

BEAUREGARD DRUGS INC

Practice address

7667 Al Highway 51
Ste a
Opelika, AL 36804-2200

Phone

(334) 364-9993

Fax

(334) 364-9997

NPI assigned

Jul 18, 2012

Organization subpart

No

Authorized official

Name

Tucker Simmons NPI 1447533526

Title

President

Phone

(334) 364-9993

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

Practitioners 1

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

• Tucker Dee Simmons I Geriatric Pharmacist · Phenix City, AL · NPI 1447533526
  NPD Authorized official

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in AL

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• BEAUREGARD DRUGS, INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 20, 2017.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1639424328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7667 AL HIGHWAY 51 STE A",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368042200",
            "telephone_number": "334-364-9993",
            "fax_number": "334-364-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7667 AL HIGHWAY 51",
            "address_2": "STE A",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368042200",
            "telephone_number": "334-364-9993",
            "fax_number": "334-364-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TUCKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-364-9993"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113939",
            "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": "2136066",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139875",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAUREGARD DRUGS, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Opelika, AL · Community/Retail Pharmacy in Alabama