NPIMap

Organization Active NPI

Collinsville Express Drugs LLC

  • Pharmacy
  • Collinsville, AL
National Provider Identifier
1679811160
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
112980 Issued in AL
Legal business name
COLLINSVILLE EXPRESS DRUGS LLC
Doing business as
collinsville drugs
Practice address
588 S Valley Ave
Collinsville, AL 35961-3535
Phone
(256) 524-2981
Fax
(256) 524-2987
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Brandon Boswell
Title
Owner/Pic
Phone
(256) 524-2981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 112980 AL Primary

Addresses

Primary practice location

588 S Valley Ave
Collinsville, AL 35961-3535

Mailing address

PO Box 4498
Collinsville, AL 35961
Phone (256) 524-2981

Other identifiers 1

IdentifierTypeStateIssuer
0138467OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • collinsville drugs Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1679811160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4498",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "35961",
            "telephone_number": "256-524-2981",
            "fax_number": "256-524-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 S VALLEY AVE",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359613535",
            "telephone_number": "256-524-2981",
            "fax_number": "256-524-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINSVILLE EXPRESS DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "256-524-2981"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "112980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0138467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "collinsville drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collinsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.