Active NPI
Boaz Discount Drugs Inc
- Community/Retail Pharmacy
- Boaz, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 101645
- Legal business name
- BOAZ DISCOUNT DRUGS INC
- Practice address
- 10460 Alabama Hwy 168, Suite 1
Boaz, AL 35957-1951 - Phone
- (256) 593-6546
- Fax
- (256) 593-3137
- NPI assigned
- Jun 13, 2005
- Last updated
- Oct 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cary Dale Johnson III
- Title
- President
- Phone
- (256) 593-6546
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 101645 | AL | Primary |
Addresses
Primary practice location
10460 Alabama Hwy 168, Suite 1
Boaz, AL 35957-1951
Mailing address
PO Box 573
Boaz, AL 35957-0573
Phone (256) 593-6546
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101143 | Other | AL | NABP# |
| 100001098 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071015000345 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921194440 | Practice locations: Boaz, AL |
| O20100930037965 | AL | DME Supplier - Pharmacy | 8921194440 | Practice locations: Boaz, AL |
| O20200622000094 | AL | Part B Supplier - Independent Clinical Laboratory | 8921194440 | Practice locations: Boaz, AL |
| O20200721000295 | AL | Part B Supplier - Pharmacy | 8921194440 | Practice locations: Boaz, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Boaz Discount Drugs | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Boaz Discount Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Boaz, AL
- NPI 1285433425
Locations
10402 AL Highway 168
Boaz, AL 35957
Phone (256) 593-6546
10460 AL Highway 168
Ste 1
Boaz, AL 35957
Phone (256) 593-6546
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Pharmacist
- Boaz, AL
- NPI 1962727677
-
- Pharmacist
- Crossville, AL
- NPI 1194040832
-
- Pharmacist
- Boaz, AL
- NPI 1205194768
-
- Pharmacist
- Boaz, AL
- NPI 1659696375
-
- Pharmacist
- Boaz, AL
- NPI 1437474160
-
- Pharmacist
- Boaz, AL
- NPI 1366984221
-
- Pharmacist
- Boaz, AL
- NPI 1992020606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1821092230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 573",
"city": "BOAZ",
"state": "AL",
"postal_code": "359570573",
"telephone_number": "256-593-6546",
"fax_number": "256-593-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10460 ALABAMA HWY 168, SUITE 1",
"city": "BOAZ",
"state": "AL",
"postal_code": "359571951",
"telephone_number": "256-593-6546",
"fax_number": "256-593-3137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOAZ DISCOUNT DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2011-10-31",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CARY",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-593-6546",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "101645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP#",
"identifier": "0101143",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001098",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.