Pike Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PIKE DRUG COMPANY LLC

Practice address

132 S Main St Ste 1
Brundidge, AL 36010-1809

Phone

(334) 536-0205

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Khadija F CaldwellNPI 1851764948

Title

Owner

Phone

(334) 536-0205

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pike Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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

• Khadija Caldwell

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Dothan, AL
  • NPI 1851764948
  NPD Authorized official

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1992276547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S MAIN ST STE 1",
            "city": "BRUNDIDGE",
            "state": "AL",
            "postal_code": "360101809",
            "telephone_number": "334-536-0205",
            "fax_number": "334-536-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S MAIN ST STE 1",
            "city": "BRUNDIDGE",
            "state": "AL",
            "postal_code": "360101809",
            "telephone_number": "334-536-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-536-0205"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227761",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pike Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hawkins Inc
• Hawkins Inc
• Shawn Lampley
• Charles Linguiti, M.D.
• Pharmassist Inc
• Pike Internal Medicine
• Angela Lachele Rodgers, CRNP
• Margaret Kay Seay, RPH
• Fuhrma Rachael Wagner, CRNP

• All providers in Brundidge, AL
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.