NPIMap

Organization Active NPI

Payless Drugs, Inc.

  • Community/Retail Pharmacy
  • Birmingham, AL
National Provider Identifier
1689721946
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
107678 Issued in AL
Legal business name
PAYLESS DRUGS, INC.
Doing business as
Payless Drugs
Practice address
2512 31St Ave N
Birmingham, AL 35207-4424
Phone
(205) 252-4179
Fax
(205) 252-4170
NPI assigned
Jan 5, 2007
Organization subpart
Yes
Parent organization
PAYLESS DRUGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Dr. Arthur Boyd Ennis Jr., PHARMD
Title
President
Phone
(205) 252-4179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 107678 AL Primary

Addresses

Primary practice location

2512 31St Ave N
Birmingham, AL 35207-4424

Mailing address

2512 31St Ave N
Birmingham, AL 35207-4424
Phone (205) 252-4179

Other identifiers 1

IdentifierTypeStateIssuer
100002535MedicaidAL

Other names 1

  • Payless Drugs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000078 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8022106186 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL; Springville, AL; Fairfield, AL; Morris, AL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Payless Drugs Inc5 organizations share this tax ID, including this one
Part of
Payless Drugs Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1689721946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 31ST AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074424",
            "telephone_number": "205-252-4179",
            "fax_number": "205-252-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 31ST AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074424",
            "telephone_number": "205-252-4179",
            "fax_number": "205-252-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYLESS DRUGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAYLESS DRUGS, INC.",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-252-4179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "107678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002535",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payless Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.