Valley Drug Company Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

109900 Issued in AL

Legal business name

VALLEY DRUG COMPANY INC

Practice address

1302 Somerville Rd SE
Decatur, AL 35601-4337

Phone

(256) 355-8015

Fax

(256) 355-7684

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mustafa Issa Elayan

Title

President

Phone

(256) 355-8015

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1942380282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SOMERVILLE RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014337",
            "telephone_number": "256-355-8015",
            "fax_number": "256-355-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SOMERVILLE RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014337",
            "telephone_number": "256-355-8015",
            "fax_number": "256-355-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "ELAYAN",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "ISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-355-8015"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "109900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001288",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Valiente, CRNP
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• Valley Drug Co. Inc.
• Valley Drug Co. No. 1
• Valley Drug Company #2
• Valley Institute of Primary Medical Care of Alabama
• Valley Institute of Primary Medical Care of Alabama, LLC
• Valley Internal Medicine
• Valley Internal Medicine and Pediatrics
• Valley Orthodontics LLC

• Pharmacist in Decatur, AL
• Providers in Decatur, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.