Organization Active NPI

Boone Pharmacy Management Inc

Doing business as Mac's Drugs

  • Community/Retail Pharmacy
  • Jackson, AL
National Provider Identifier
1770655904
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
106440 Issued in AL
Legal business name
BOONE PHARMACY MANAGEMENT INC
Doing business as
Mac's Drugs
Practice address
201 Commerce St
Jackson, AL 36545-2717
Phone
(251) 246-2271
Fax
(251) 246-2277
NPI assigned
Nov 14, 2006
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Richard Boone
Title
President
Phone
(334) 341-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 106440 AL Primary

Addresses

Primary practice location

201 Commerce St
Jackson, AL 36545-2717

Mailing address

PO Box 426
Jackson, AL 36545-0426
Phone (251) 246-2271

Other identifiers 3

IdentifierTypeStateIssuer
01-07741OtherALNABP
13-01196OtherALALABAMA SALES TAX #
100001841MedicaidAL

Other names 1

  • Mac's Drugs Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2323147Mac's Drugs201 Commerce Street, Jackson, AL 36545Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Boone Pharmacy Management Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1770655904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365450426",
            "telephone_number": "251-246-2271",
            "fax_number": "251-246-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COMMERCE ST",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452717",
            "telephone_number": "251-246-2271",
            "fax_number": "251-246-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE PHARMACY MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-341-3466"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "106440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "01-07741",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA SALES TAX #",
            "identifier": "13-01196",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001841",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mac's Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.