Provider Demographics
NPI:1376628206
Name:FIVE POINTS PHARMACY & DOLLAR, LLC
Entity Type:Organization
Organization Name:FIVE POINTS PHARMACY & DOLLAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-221-4950
Mailing Address - Street 1:41 CURRY HWY
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35503-7542
Mailing Address - Country:US
Mailing Address - Phone:205-295-1750
Mailing Address - Fax:205-295-1751
Practice Address - Street 1:41 CURRY HWY
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35503-7542
Practice Address - Country:US
Practice Address - Phone:205-295-1750
Practice Address - Fax:205-295-1751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336L0003X
AL1123853336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0132150OtherNCPDP
AL100003510Medicaid
0132150OtherNCPDP