ESCAMBIA DRUG STORE INC (NPI# 1114064441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114064441 |
| Entity Type | Organization |
| Organization Name | ESCAMBIA DRUG STORE INC |
| Practice Address |
108 S Main Street Atmore AL 36502-2446 |
| Practice Telephone | 2513683191 |
| Practice Fax Number | 2513681916 |
| Mailing Telephone | 2513683191 |
| Mailing Fax Number | 2513681916 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID DEWAYNE BARNETT (REG PHARMACIST INS TRES OF CORPERAT) |
| Authorized Official Telephone | 2513683191 |
| Authorized Official Credential | REG PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 103720 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 0104050 | 01 | |
| DEA US DEPT OF JUSTICE | #AE0471437 | 01 | |
| ALA CONTROLLED SUBSTANCE | #103720 | 01 |
| Street Address |
108 S MAIN STREET |
| City | ATMORE |
| State | AL |
| Zip Code | 36502-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1932331485 | Buckley and Buckley Family Dentistry | Dentist | 604 E Nashville Ave, Atmore, AL 36502 | 2009-08-18 |
| 1932343803 | Melanie Showalter Killam | Physical Therapist | 715 East Laurel Street, Atmore Nursing Center, Atmore, AL 36502 | 2009-04-23 |
| 1326285040 | Gene Allen West | Dentist | 109 7th Avenue, Atmore, AL 36502 | 2009-01-16 |
| 1134231392 | Paul J Dirkes | Dentist | 5811 Jack Springs Road, Atmore, AL 36502 | 2006-08-31 |
| 1538111893 | Atmore Community Home Care, LLC | Home Health | 121-c Lindberg Avenue, Atmore, AL 36502 | 2006-05-16 |
| 1790740793 | Renal Treatment Centers Southeast Lp | Clinic/Center | 807 E Craig St, Atmore, AL 36502 | 2006-04-20 |
| 1386250710 | Lydia M Bonner | Nurse Practitioner | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-21 |
| 1508885732 | Health Plus Chiropractic Center LLC | Chiropractor | 200 N Main St, Atmore, AL 36502 | 2006-07-19 |
| 1669640041 | Baldwin County Girls Residential Wilderness Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23750 Ewing Farm Road, Atmore, AL 36502-0000 | 2008-02-19 |
| Find all providers in zip 36502 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285666214 | Freds Stores of Tennessee Inc | Pharmacy | 109 Lindberg Ave, Atmore, AL 36502-3205 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372771 | The Medicine Shoppe | Pharmacy | 2006 Danville Rd Sw Ste C, Decatur, AL 35601-4640 | 2020-10-02 |
| 1730704024 | St. Vincent's Blount | Pharmacy | 150 Gilbreath Dr Ste 104, Oneonta, AL 35121-2827 | 2020-06-11 |
| 1750914545 | Alabama Ltc Pharmacy LLC | Pharmacy | 611 Mcfarland Blvd Ste D, Northport, AL 35476-3333 | 2020-02-19 |
| 1497387757 | Double A Drugs LLC | Pharmacy | 42746 Hwy 25, Vincent, AL 35178 | 2020-02-05 |
| 1700421286 | Florala Pharmacy Inc | Pharmacy | 402 Meeting Avenue, Georgiana, AL 36033 | 2019-11-08 |
| 1447800198 | Jonathan Beasley Pharmacy Inc | Pharmacy | 55314 Highway 17 Ste D, Sulligent, AL 35586-4546 | 2019-09-16 |
| 1841844255 | Village Drugs LLC | Pharmacy | 716 Skelton Ave, Gardendale, AL 35071-2809 | 2019-07-25 |
| 1902377716 | Sylacauga Pharmacy, LLC | Pharmacy | 1244 Talladega Hwy, Sylacauga, AL 35150-1603 | 2018-12-06 |
| 1285100248 | Allen's Pharmacy | Pharmacy | 1518 W Main St Ste 2, Dothan, AL 36301-1372 | 2018-10-17 |
| 1972082311 | Asteria Specialty Pharmacy | Pharmacy | 5511 Highway 280 Ste 301, Birmingham, AL 35242-1507 | 2018-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.