NPIMap

Organization Active NPI

Austin Drug Co Inc

  • Community/Retail Pharmacy
  • Decatur, AL
National Provider Identifier
1770635849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111104 Issued in AL
Legal business name
AUSTIN DRUG CO INC
Practice address
2422 Danville Rd SW Ste J
Decatur, AL 35603-4221
Phone
(256) 353-1121
Fax
(256) 353-1790
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Samuel Marion Costello, PHARMACIST
Title
President
Phone
(256) 353-1121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 111104 AL Primary

Addresses

Primary practice location

2422 Danville Rd SW Ste J
Decatur, AL 35603-4221

Mailing address

2422 Danville Rd SW Ste J
Decatur, AL 35603-4221
Phone (256) 353-1121

Other identifiers 1

IdentifierTypeStateIssuer
0105886OtherALNCPDP #

Other names 1

  • Pill Box Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austin 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.

Locations

2422 Danville Rd SW
Ste J
Decatur, AL 35603
Phone (256) 353-1121

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770635849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 DANVILLE RD SW STE J",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034221",
            "telephone_number": "256-353-1121",
            "fax_number": "256-353-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 DANVILLE RD SW STE J",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034221",
            "telephone_number": "256-353-1121",
            "fax_number": "256-353-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-353-1121",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP  #",
            "identifier": "0105886",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pill Box Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.