St Clair Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

104380 Issued in AL

Legal business name

ST CLAIR DRUG COMPANY LLC

Practice address

45 Richey Street
Geraldine, AL 35974-3748

Phone

(256) 659-2117

Fax

(256) 659-2117

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Daniel St Clair

Title

Owner

Phone

(256) 504-5804

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GERALDINE DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Lynsey Brooke Walker

  • Pharmacist
  • Geraldine, AL
  • NPI 1205425345
  NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1972686012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "GERALDINE",
            "state": "AL",
            "postal_code": "359740158",
            "telephone_number": "256-659-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RICHEY STREET",
            "city": "GERALDINE",
            "state": "AL",
            "postal_code": "359743748",
            "telephone_number": "256-659-2117",
            "fax_number": "256-659-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "ST CLAIR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-504-5804"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "104380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GERALDINE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GERALDINE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Kristen Gorham Floyd
• Kathryn F Lauderdale, APN
• Oak Stone Rural Health Clinic
• Quality of Life Health Services, Inc
• Randy R Simpson, DDS
• Michelle A Stuart, CRNP
• The Geraldine Clinic LLC
• Lynsey Brooke Walker

• Community/Retail Pharmacy in Geraldine, AL
• Providers in Geraldine, 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 Aug 16, 2018; 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.