FDC Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

103810 Issued in AL

Legal business name

FDC INC

Doing business as

Fairfax Drug Company

Practice address

89 Trammell Block
Valley, AL 36854-4903

Phone

(334) 756-2305

Fax

(334) 756-9142

NPI assigned

Oct 2, 2006

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy MartinNPI 1255917860

Title

President

Phone

(334) 756-2305

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FAIRFAX DRUG COMPANY Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• FDC, Inc

  dba Fairfax Drug Co.

  • Durable Medical Equipment & Medical Supplies
  • Valley, AL
  • NPI 1114144292

  O20100930019067

  Same enrollment

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.

• Nancy E Martin, RPH

  • Pharmacist
  • Valley, AL
  • NPI 1255917860
  NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1831282482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 TRAMMELL BLOCK",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368544903",
            "telephone_number": "334-756-2305",
            "fax_number": "334-756-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 TRAMMELL BLOCK",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368544903",
            "telephone_number": "334-756-2305",
            "fax_number": "334-756-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-756-2305"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "103810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988646",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000882",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRFAX DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enrique Duprat MD PC
• Etherton Family Dentistry PC
• Carla A Etherton Moore, CRNP
• Jason Anthony Etherton, D.M.D.
• David G Fagan, M.D.
• FDC, Inc (Fairfax Drug Co.)
• Heather Laconya Veal Fields, CRNA
• Mitchel Lewis Galishoff, MD
• Rutilio Garcia, M.D.
• Wendy Leigh Gray, CRNP

• Community/Retail Pharmacy in Valley, AL
• Providers in Valley, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.