Organization Active NPI

Carlisle Drug Co. Inc

Doing business as Hometown Pharmacy

  • Community/Retail Pharmacy
  • Alexander City, AL
National Provider Identifier
1750423174
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111161 Issued in AL
Legal business name
CARLISLE DRUG CO. INC
Doing business as
Hometown Pharmacy
Practice address
839 Airport Dr. Suite 101
Alexander City, AL 35010
Phone
(256) 329-0900
Fax
(256) 329-0999
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mr. Daniel D. Champion, RPH.
Title
Owner
Phone
(256) 329-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 111161 AL Primary

Addresses

Primary practice location

839 Airport Dr. Suite 101
Alexander City, AL 35010

Mailing address

12 Main St
Alexander City, AL 35010
Phone (256) 234-4211

Other identifiers 2

IdentifierTypeStateIssuer
0103628OtherNCPDP
100002946MedicaidAL

Other names 1

  • Hometown Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

839 Airport Dr
Ste 101
Alexander City, AL 35010
Phone (256) 234-4211

12 Main St
Alexander City, AL 35010

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1750423174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAIN ST",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-234-4211",
            "fax_number": "256-234-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 AIRPORT DR. SUITE 101",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-329-0900",
            "fax_number": "256-329-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE DRUG CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-329-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0103628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002946",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.