Organization Active NPI

Mallette Drug Company Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Andalusia, AL
National Provider Identifier
1992839617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
283 Issued in AL
Legal business name
MALLETTE DRUG COMPANY INCORPORATED
Practice address
837 S Three Notch St
Andalusia, AL 36420-5321
Phone
(334) 222-1141
Fax
(334) 222-8361
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bobby John Scott, RPH
Title
Owner Chief Pharmacist
Phone
(334) 222-1141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 283 AL Primary

Addresses

Primary practice location

837 S Three Notch St
Andalusia, AL 36420-5321

Mailing address

PO Box 327
Andalusia, AL 36420-1205
Phone (334) 222-1141

Other identifiers 1

IdentifierTypeStateIssuer
510-50553OtherALBCBSAL DMERC SUPPLIER

National Provider Directory

National Provider Directory

Locations

837 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-1141

Practitioners & affiliated clinicians

Practitioners 3

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992839617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201205",
            "telephone_number": "334-222-1141",
            "fax_number": "334-222-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 S THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205321",
            "telephone_number": "334-222-1141",
            "fax_number": "334-222-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLETTE DRUG COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER CHIEF PHARMACIST",
        "authorized_official_telephone_number": "334-222-1141",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL DMERC SUPPLIER",
            "identifier": "510-50553",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.