Modern Drug of Bayou la Batre Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11511 Issued in AL

Legal business name

MODERN DRUG OF BAYOU LA BATRE INC

Doing business as

MODERN DRUG

Practice address

13845 S Wintzell Ave
Bayou la Batre, AL 36509-2401

Phone

(251) 824-2115

Fax

(251) 824-4961

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

James Acye Pittman, BSPH

Title

Pharmacist

Phone

(251) 824-2115

Specialties & licenses 1

Addresses

Other names 1

• MODERN DRUG Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679610802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13845 S WINTZELL AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092401",
            "telephone_number": "251-824-2115",
            "fax_number": "251-824-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13845 S WINTZELL AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092401",
            "telephone_number": "251-824-2115",
            "fax_number": "251-824-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DRUG OF BAYOU LA BATRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ACYE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "251-824-2115",
        "authorized_official_credential": "BSPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODERN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harry Lloyd Holston Jr., PHARMD
• Elizabeth Marie Hudgins, LPC
• J. Watkins Drugs, LLC
• Kimberley E Jongebloed, MD
• Chelsea McCormick
• Adam McCay Moore, PHARMD
• Samantha N Pettaway
• Mary Ashley Roberts, MS CCC SLP
• RX Express Pharmacy of Bayou la Batre, Inc.
• Staci L. Shipman, PHARMD

• Community/Retail Pharmacy in Bayou la Batre, AL
• Providers in Bayou la Batre, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.