Active NPI
Youngs Drug Store LLC
Doing business as Young's Drug and General Store
- Community/Retail Pharmacy
- Woodland, AL
National Provider Identifier
1699233114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- YOUNGS DRUG STORE LLC
- Doing business as
- Young's Drug and General Store
- Practice address
- 24460 Highway 48
Woodland, AL 36280-5204 - Phone
- (256) 449-2372
- Fax
- (256) 449-2379
- NPI assigned
- Mar 4, 2019
- Organization subpart
- Yes
- Parent organization
- YOUNG'S DRUG STORE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Stanley Smith
- Title
- Manger
- Phone
- (256) 449-2372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
24460 Highway 48
Woodland, AL 36280-5204
Mailing address
PO Box 67
Lineville, AL 36266-0067
Phone (256) 396-5632
Other practice location 1
88960 hwy 9
lineville, AL 36266
Phone (256) 396-5632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230482 | Medicaid | AL |
Other names 1
- Young's Drug and General Store
National Provider Directory
National Provider Directory- Part of
- Young's Drug Store LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lineville, AL
- NPI 1215527155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648771200000",
"number": "1699233114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "LINEVILLE",
"state": "AL",
"postal_code": "362660067",
"telephone_number": "256-396-5632",
"fax_number": "256-396-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24460 HIGHWAY 48",
"city": "WOODLAND",
"state": "AL",
"postal_code": "362805204",
"telephone_number": "256-449-2372",
"fax_number": "256-449-2379"
}
],
"practiceLocations": [
{
"address_1": "88960 hwy 9",
"address_purpose": "LOCATION",
"city": "lineville",
"state": "AL",
"postal_code": "36266",
"country_code": "US",
"telephone_number": "256-396-5632",
"fax_number": "256-396-5142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YOUNGS DRUG STORE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YOUNG'S DRUG STORE LLC",
"enumeration_date": "2019-03-04",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "STANLEY",
"authorized_official_title_or_position": "MANGER",
"authorized_official_telephone_number": "256-449-2372"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230482",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Young's Drug and General Store",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.