College City Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

102640 Issued in AL

Legal business name

COLLEGE CITY DRUGS INC

Practice address

304 Washington St
Marion, AL 36756-2332

Phone

(334) 683-6166

Fax

(334) 683-9621

NPI assigned

Sep 5, 2005

Last updated

Sep 27, 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

Bradford Rogers Sturgis, RPHNPI 1053636076

Title

President-Chief Pharmacist

Phone

(334) 683-6166

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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.

• Bradford Rogers Sturgis, RPH

  • Pharmacist
  • Marion, AL
  • NPI 1053636076
  NPD (past) Authorized official

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

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1871587915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367560220",
            "telephone_number": "334-683-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WASHINGTON ST",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367562332",
            "telephone_number": "334-683-6166",
            "fax_number": "334-683-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE CITY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-05",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "STURGIS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "PRESIDENT-CHIEF PHARMACIST",
        "authorized_official_telephone_number": "334-683-6166",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "102640",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "102640",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "102640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000012",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joycelyn Bolden
• Josue C Breaux, MD
• Adeniyi Kayode Busari, MD MPH
• Katlyn Norris Casper, PA
• College City Drug
• Tamara Daneeshia Cox, MD
• Dac of Marion, LLC (Diversicare of Marion)
• Lacretia Cooke Edwards, MPT
• Marsha Ford
• David W. Gann, D.M.D.

• Community/Retail Pharmacy in Marion, AL
• Providers in Marion, 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 Sep 27, 2017; 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.