CORDOVA DRUG COMPANY (NPI# 1801993035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801993035 |
| Entity Type | Organization |
| Organization Name | CORDOVA DRUG COMPANY |
| Practice Address |
83 Main St Cordova AL 35550-1414 |
| Practice Telephone | 2054837811 |
| Practice Fax Number | 2054837821 |
| Mailing Telephone | 2054837811 |
| Mailing Fax Number | 2054837821 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | KENNETH SAMUEL GLOVER II (OWNER) |
| Authorized Official Telephone | 2056489918 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 111584 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100000897 | 05 |
| Street Address |
83 MAIN ST |
| City | CORDOVA |
| State | AL |
| Zip Code | 35550-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316186901 | Eric Victor Short | Pharmacist | 83 Main St, Cordova, AL 35550-1414 | 2009-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629289418 | John M Davis | Pharmacist | 7399 Hwy 78, Cordova, AL 35550 | 2007-05-24 |
| 1275535114 | Mark L Smith | Nurse Practitioner | 426 School Street, Cordova, AL 35550 | 2005-08-11 |
| 1205858255 | Julian D. Maddox Inc. Dba Glover Pharmacy | Pharmacist | 100 Main St, Cordova, AL 35550-1413 | 2006-07-25 |
| 1932156775 | Cordova Health and Rehabilitation, LLC | Skilled Nursing Facility | 70 Highland St W, Cordova, AL 35550-1416 | 2006-05-27 |
| 1912418005 | Lindsay Brooke Handley | Nurse Practitioner | 70 Highland St W, Cordova, AL 35550-1416 | 2017-10-17 |
| 1659719144 | Joyce Ann Archie | Nurse Practitioner | 1429 Cordova Gorgas Rd, Cordova, AL 35550-5030 | 2013-06-06 |
| 1881615029 | Scottie Lynn Twilley | Family Medicine | 426 School St, Cordova, AL 35550-6000 | 2006-07-22 |
| 1306367057 | Tina Herron | Pharmacist | 430 School St, Cordova, AL 35550-6000 | 2017-07-03 |
| 1841734456 | Integrative Family Medicine, LLC | Family Medicine | 426 School St, Cordova, AL 35550-6000 | 2016-12-15 |
| 1770932733 | Healthcare Capital Management | Point of Service | 426 School St, Cordova, AL 35550-6000 | 2016-06-09 |
| Find all providers in zip 35550 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740610146 | Judith Hamilton | Pharmacist | 9998 Windstream Ln, Cordova, TN 38016-6652 | 2013-11-21 |
| 1922355791 | Summer Startup Regel | Pharmacist | 1679 Bonnie Ln Ste 101, Cordova, TN 38016-0536 | 2012-08-10 |
| 1679841076 | Isiah Mccray IIi | Pharmacist | 276 Fleets Hill Cv, Cordova, TN 38018-5201 | 2011-12-13 |
| 1699043612 | Linsay Scholten | Pharmacist | 8046 Macon Road, Cordova, TN 38018 | 2011-12-05 |
| 1730462177 | Lena Scharvette Jones | Pharmacist | 1412 Sawmill Creek Ln, Cordova, TN 38016-7638 | 2011-09-22 |
| 1942592373 | Bernard Kevin Lacour | Pharmacist | 9016 River Knoll Dr, Cordova, TN 38016-0687 | 2011-05-03 |
| 1669774691 | Robin Nicole Wingate | Pharmacist | 6897 Brady Hill Dr, Cordova, TN 38018-2884 | 2010-11-24 |
| 1528389335 | Marcus Alejo Lyles | Pharmacist | 7466 Cordova Club Dr E, Cordova, TN 38018-1830 | 2010-06-15 |
| 1972770790 | Nicole Gabriel Parker | Pharmacist | 1780 N Germantown Pkwy, Cordova, TN 38016-5030 | 2008-05-12 |
| 1255535183 | Rhonda Gaddy Bantom | Pharmacist | 8862 River Pine Dr, Cordova, TN 38016-7100 | 2007-06-13 |
| Find all providers in CORDOVA | ||||
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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.