Organization Active NPI

Foster Drug Co Inc

  • Community/Retail Pharmacy
  • Hayneville, AL
National Provider Identifier
1689607624
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
104075 Issued in AL
Legal business name
FOSTER DRUG CO INC
Practice address
12 Lafayette St
Hayneville, AL 36040-2089
Phone
(334) 548-2125
Fax
(334) 548-2126
NPI assigned
Jul 9, 2006
Last updated
Jan 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
John Carpenter, RPHNPI 1134181050
Title
Owner, Pic, Ao
Phone
(334) 548-2125

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 104075 AL Primary

Addresses

Primary practice location

12 Lafayette St
Hayneville, AL 36040-2089

Mailing address

PO Box 366
Hayneville, AL 36040-0366
Phone (334) 548-2125

Other identifiers 3

IdentifierTypeStateIssuer
009939290MedicaidAL
100001924MedicaidAL
1988742OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210831000736 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5395866305 Practice locations: Hayneville, AL

National Provider Directory

National Provider Directory
Tax ID family
Foster Drug Co Inc3 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1689607624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "HAYNEVILLE",
            "state": "AL",
            "postal_code": "360400366",
            "telephone_number": "334-548-2125",
            "fax_number": "334-548-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LAFAYETTE ST",
            "city": "HAYNEVILLE",
            "state": "AL",
            "postal_code": "360402089",
            "telephone_number": "334-548-2125",
            "fax_number": "334-548-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "334-548-2125",
        "authorized_official_credential": "RPH"
    },
    "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": "104075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939290",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001924",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayneville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.