ELITE RX, LLC (NPI# 1053696880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053696880 |
| Entity Type | Organization |
| Organization Name | ELITE RX, LLC |
| Practice Address |
135 Gemini Cir Ste 201 Birmingham AL 35209-5842 |
| Practice Telephone | 2059456705 |
| Practice Fax Number | 2059456703 |
| Mailing Telephone | 2059456705 |
| Mailing Fax Number | 2059456703 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | MR. DANIEL RYAN ROBNETT (CO-OWNER) |
| Authorized Official Telephone | 2055221559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
113816 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | STATE PERMIT | 113816 | 01 |
| Street Address |
135 GEMINI CIR STE 201 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-5842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| 1073170775 | Village Drug Co. LLC | Pharmacy | 300 Carlow Ln, Ste 116, Birmingham, AL 35217 | 2019-05-29 |
| 1609341171 | Ur Pharmacy Inc | Pharmacy | 300 Cahaba Park Cir Ste 218, Birmingham, AL 35242-5043 | 2018-10-10 |
| 1235653221 | Senior Care Pharmacy Inc | Pharmacy | 1424 Montclair Rd Ste 6101, Birmingham, AL 35210-2208 | 2017-08-01 |
| 1659728624 | Helena Family Pharmacy LLC | Pharmacy | 3108 Heights Vlg, Birmingham, AL 35243-5221 | 2016-05-19 |
| 1073931689 | Optum Infusion Services 206, Inc. | Pharmacy | 660 University Blvd, Suite A, Birmingham, AL 35233-1100 | 2014-04-01 |
| 1104251552 | Moores Pharmacy LLC | Pharmacy | 1200 Forestdale Sq, Birmingham, AL 35214-3838 | 2013-09-04 |
| 1134567100 | Mills Pharmacy At Woodlawn LLC | Pharmacy | 6501 1st Ave N, Birmingham, AL 35206-5009 | 2013-06-12 |
| 1023456019 | Walgreen Co | Pharmacy | 3686 Grandview Pkwy Ste 120, Birmingham, AL 35243-3334 | 2013-06-12 |
| 1720369994 | Beaumont Pharmacy, LLC | Pharmacy | 264 Inverness Center Dr, Birmingham, AL 35242-4834 | 2011-09-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on ELITE RX, LLC.
| 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.