COLLINSVILLE EXPRESS DRUGS LLC (NPI# 1679811160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679811160 |
| Entity Type | Organization |
| Organization Name | COLLINSVILLE EXPRESS DRUGS LLC |
| Other Organization Name | COLLINSVILLE DRUGS |
| Practice Address |
588 S Valley Ave Collinsville AL 35961-3535 |
| Mailing Address |
Po Box 4498 Collinsville AL 35961 |
| Practice Telephone | 2565242981 |
| Practice Fax Number | 2565242987 |
| Mailing Telephone | 2565242981 |
| Mailing Fax Number | 2565242987 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | BRANDON BOSWELL (OWNER/PIC) |
| Authorized Official Telephone | 2565242981 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 112980 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0138467 | 01 |
| Other Name | Type Code |
|---|---|
| collinsville drugs | Doing Business As Name - Organization |
| Street Address |
588 S VALLEY AVE |
| City | COLLINSVILLE |
| State | AL |
| Zip Code | 35961-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952594004 | Kilgore Express Pharmcy Inc | Durable Medical Equipment & Medical Supplies | 588 S Valley Ave, Collinsville, AL 35961-3535 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144301235 | Co Co, Inc. | Durable Medical Equipment & Medical Supplies | 720 North Valley Ave, Collinsville, AL 35961 | 2006-10-17 |
| 1467406298 | Collinsville Nursing Home, Inc | Skilled Nursing Facility | 685 North Valley Ave, Collinsville, AL 35961 | 2006-05-19 |
| 1225159981 | North East Alabama Center for Infectious Disease& Internal Medicine | Clinic/Center | 107 Main St, Collinsville, AL 35961 | 2007-04-02 |
| 1053367342 | Sunil K Jaiswal | Internal Medicine | 107 Main Street, Collinsville, AL 35961 | 2006-05-26 |
| 1467808881 | Brandi Ware | Nurse Practitioner | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2016-05-05 |
| 1669566527 | Frances H. Koe | Family Medicine | 52 S Valley Ave, Collinsville, AL 35961-3263 | 2006-10-03 |
| 1841818010 | Dana Hall Siniard | Nurse Practitioner | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2020-07-13 |
| 1902450281 | Pamela Shirley | Family Medicine | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2019-07-25 |
| 1134271281 | Judith Womack Jones | Nurse Practitioner | 52 S Valley Ave, Collinsville, AL 35961-3263 | 2007-01-17 |
| 1407213259 | Julie Menk | Speech-Language Pathologist | 68 N Valley Ave, Collinsville, AL 35961-3330 | 2016-01-25 |
| Find all providers in zip 35961 | ||||
| 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 |
|---|---|---|---|---|
| 1811001878 | Collinsville Drugs Inc | Pharmacy | 9158 Hwy 19, Collinsville, MS 39325-0175 | 2006-08-18 |
| 1770589210 | Family Pharmacy of Collinsville, Inc | Pharmacy | 228 W Main St, Collinsville, IL 62234-3016 | 2005-06-21 |
| 1679688600 | Ashmann Prescription Phcy Inc | Pharmacy | 209 E Main St, Collinsville, IL 62234-3006 | 2006-08-20 |
| 1215968375 | Kmart Stores of Illinois LLC | Pharmacy | 1101 Belt Line Rd, Collinsville, IL 62234-4368 | 2006-07-06 |
| 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 | ||||
| City | COLLINSVILLE |
| Zip Code | 35961 |
Please comment or provide details below to improve the information on COLLINSVILLE EXPRESS DRUGS LLC.
| 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.