Provider Demographics
NPI:1801899463
Name:PILCHER MCBRYDE DRUG COMPANY
Entity type:Organization
Organization Name:PILCHER MCBRYDE DRUG COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:CREECH, JR.
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:334-875-7208
Mailing Address - Street 1:PO BOX 1168
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36702-1168
Mailing Address - Country:US
Mailing Address - Phone:334-875-7208
Mailing Address - Fax:334-875-2855
Practice Address - Street 1:101 BROAD ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-4606
Practice Address - Country:US
Practice Address - Phone:334-875-7208
Practice Address - Fax:334-875-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL107790332BP3500X, 332BX2000X, 333600000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
51051380OtherAL BS BC
AL100000225Medicaid
AL0109618OtherNABP OR NCPDP
AL009806250Medicaid
AL0109618OtherNABP OR NCPDP