Provider Demographics
NPI:1386759736
Name:LEXINGTON DRUGS LLC
Entity type:Organization
Organization Name:LEXINGTON DRUGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINYARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-229-5550
Mailing Address - Street 1:11601 HIGHWAY 101
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:AL
Mailing Address - Zip Code:35648-3249
Mailing Address - Country:US
Mailing Address - Phone:256-229-5550
Mailing Address - Fax:256-229-5078
Practice Address - Street 1:11601 HIGHWAY 101
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:AL
Practice Address - Zip Code:35648-3249
Practice Address - Country:US
Practice Address - Phone:256-229-5550
Practice Address - Fax:256-229-5078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BX2000X
AL1120373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009980410Medicaid
AL0934490002Medicare NSC