{
"Npi": {
"NPI": "1497841654",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BROWN DRUG CO, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "101 SAMUEL O MOSELEY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SELMA",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36701-6730",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "334-874-9495",
"MailingAddressFaxNumber": "334-874-9929",
"FirstLinePracticeLocationAddress": "101 SAMUEL O MOSELEY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SELMA",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36701-6730",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "334-874-9495",
"PracticeLocationAddressFaxNumber": "334-874-9929",
"EnumerationDate": "10/05/2006",
"LastUpdateDate": "11/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "10/06/2006",
"NPIReactivationDate": "03/21/2008",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIBBS",
"AuthorizedOfficialFirstName": "TIMOTHY",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "334-872-3255",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "111878",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}