NPIMap

Organization Active NPI

Payless Drugs, Inc.

Doing business as Payless Drugs

  • Community/Retail Pharmacy
  • Springville, AL
National Provider Identifier
1841348182
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
109130 Issued in AL
Legal business name
PAYLESS DRUGS, INC.
Doing business as
Payless Drugs
Practice address
460 Walker Dr
Springville, AL 35146-3250
Phone
(205) 467-7988
Fax
(205) 467-3079
NPI assigned
Jan 5, 2007
Last updated
Apr 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PAYLESS DRUGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Dr. Arthur Boyd Ennis Jr., PHARMD
Title
President
Phone
(205) 467-7988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 109130 AL Primary

Addresses

Primary practice location

460 Walker Dr
Springville, AL 35146-3250

Mailing address

PO Box 252
Springville, AL 35146-0252
Phone (205) 467-7988

Other identifiers 1

IdentifierTypeStateIssuer
100003598MedicaidAL

Other names 1

  • Payless Drugs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000078 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8022106186 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL; Springville, AL; Fairfield, AL; Morris, AL

Other NPIs on the same Medicare enrollment 3

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

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
01D2182844Payless Drugs460 Walker Dr, Springville, AL 35146Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Payless Discount Drugs5 organizations share this tax ID, including this one
Part of
Payless Discount Drugs

Other organizations with this tax ID 4

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

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, 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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1841348182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351460252",
            "telephone_number": "205-467-7988",
            "fax_number": "205-467-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WALKER DR",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351463250",
            "telephone_number": "205-467-7988",
            "fax_number": "205-467-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYLESS DRUGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAYLESS DRUGS, INC.",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-467-7988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "109130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003598",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payless Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.

Verify at the official NPI Registry.