NPIMap

Organization Active NPI

Ider Discount Drugs Inc

  • Pharmacy
  • Ider, AL
National Provider Identifier
1922067966
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
111553 Issued in AL
Legal business name
IDER DISCOUNT DRUGS INC
Practice address
10705 Al Highway 75
Ider, AL 35981-4627
Phone
(256) 657-5151
Fax
(256) 657-2275
NPI assigned
Mar 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Mr. Frank Tant
Title
Owner
Phone
(256) 463-2197

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 111553 AL
Pharmacy 333600000X 111553 AL Primary

Addresses

Primary practice location

10705 Al Highway 75
Ider, AL 35981-4627

Mailing address

875 Ross St
Heflin, AL 36264-1131
Phone (256) 463-2197

Other identifiers 1

IdentifierTypeStateIssuer
100003067MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930073925 AL DME Supplier - Pharmacy 5092836346 Practice locations: Ider, AL
O20110114000536 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5092836346 Practice locations: Ider, AL

National Provider Directory

National Provider Directory
Tax ID family
Ider Discount Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1922067966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROSS ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641131",
            "telephone_number": "256-463-2197",
            "fax_number": "256-646-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 AL HIGHWAY 75",
            "city": "IDER",
            "state": "AL",
            "postal_code": "359814627",
            "telephone_number": "256-657-5151",
            "fax_number": "256-657-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDER DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TANT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-463-2197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "111553",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "111553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003067",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ider, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.