NPIMap

Organization Active NPI

Davis Drug Co Inc

  • Pharmacy
  • Columbiana, AL
National Provider Identifier
1750435277
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
103080 Issued in AL
Legal business name
DAVIS DRUG CO INC
Practice address
111 So Main St
Columbiana, AL 35051
Phone
(205) 669-6713
Fax
(205) 669-7651
NPI assigned
Jan 22, 2007
Organization subpart
Yes
Parent organization
DAVIS DRUG CO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mr. James T Davis Jr., RPHNPI 1295090520
Title
President Pharmacist
Phone
(205) 669-6713

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 103080 AL Primary

Addresses

Primary practice location

111 So Main St
Columbiana, AL 35051

Mailing address

111 So Main St PO Box 1065
Columbiana, AL 35051
Phone (205) 669-6713

Other identifiers 4

IdentifierTypeStateIssuer
10000298MedicaidAL
50278OtherALDME
100000298MedicaidAL
50278OtherALAL MEDICAID DME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140210001567 AL Part B Supplier - Mass Immunization (Roster Biller Only) 6709905912 Practice locations: Columbiana, AL

National Provider Directory

National Provider Directory
Part of
Davis Drug Co Inc

Locations

111 S Main St
Columbiana, AL 35051
Phone (205) 669-6713

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1750435277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SO MAIN ST PO BOX 1065",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "35051",
            "telephone_number": "205-669-6713",
            "fax_number": "205-669-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SO MAIN ST",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "35051",
            "telephone_number": "205-669-6713",
            "fax_number": "205-669-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DRUG CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS DRUG CO INC",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "205-669-6713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "103080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10000298",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "50278",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000298",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL MEDICAID DME",
            "identifier": "50278",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.