TARA PHARMACY SE LLC (NPI# 1073696365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073696365 |
| Entity Type | Organization |
| Organization Name | TARA PHARMACY SE LLC |
| Practice Address |
211 Summit Pkwy Suite 112 Homewood AL 35209-4751 |
| Practice Telephone | 7166624955 |
| Mailing Telephone | 7166624955 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY ANN KING (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7166624955 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
112737 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP NUMBER | 0133493 | 01 |
| Street Address |
211 SUMMIT PKWY SUITE 112 |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-4751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847540 | Michael Thomas Walden | Pharmacist | 211 Summit Pkwy, Suite 112, Homewood, AL 35209-4751 | 2006-01-30 |
| 1770753949 | Cindy Dent | Pharmacist | 211 Summit Pkwy, Suite 112, Homewood, AL 35209-4751 | 2008-03-04 |
| 1063549368 | Tara Pharmacy Se, LLC | Pharmacist | 211 Summit Pkwy, Suite 112, Homewood, AL 35209-4751 | 2007-02-27 |
| 1265578975 | Ryan Phillips | Pharmacist | 211 Summit Pkwy, Suite 122, Homewood, AL 35209-4751 | 2007-01-29 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1457610859 | Uc Acquisition Corp. | Pharmacy | 1119 Royal Tower Dr, Homewood, AL 35209-6822 | 2012-05-07 |
| 1154947042 | Homewood Pharmacy | Pharmacy | 940 Oxmoor Rd, Homewood, AL 35209-5228 | 2020-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024947 | Remedi Seniorcare of Alabama, LLC | Pharmacy | 4908 Moores Mill Rd Unit A, Huntsville, AL 35811-1512 | 2019-10-09 |
| 1821646894 | Senior Care Pharmacy Inc | Pharmacy | 101b Villa Dr Ste B-260, Daphne, AL 36526-4653 | 2019-09-03 |
| 1477027720 | Oms Pharmacy, Inc. | Pharmacy | 1800 Mcfarland Blvd E Ste 334, Tuscaloosa, AL 35404-5882 | 2019-01-18 |
| 1225418403 | Genoa Healthcare, LLC | Pharmacy | 425 5th Ave Nw Rm 92, Attalla, AL 35954-2214 | 2015-06-03 |
| 1235519414 | Genoa Healthcare, LLC | Pharmacy | 2201 Arlington Ave Ste B, Bessemer, AL 35020-4221 | 2015-06-03 |
| 1003296286 | Genoa Healthcare, LLC | Pharmacy | 2520 Fairlane Dr Ste 300, Montgomery, AL 36116-1653 | 2015-06-03 |
| 1902220932 | Medchoice Pharmacy Services, LLC | Pharmacy | 1 Southern Way, Mobile, AL 36619-1210 | 2014-02-11 |
| 1063846673 | Pharmacy Services of Mobile LLC | Pharmacy | 747 Lakeside Dr, Mobile, AL 36693-5113 | 2013-08-30 |
| 1114359817 | Integracare Pharmacy Inc. | Pharmacy | 199 Corporate Woods Dr, Alabaster, AL 35007-4844 | 2013-08-05 |
| 1649619222 | Caredirect Rx of Jackson, LLC | Pharmacy | 112 Celtic Dr Ste 200a, Madison, AL 35758-1800 | 2013-06-18 |
| Find all providers with the same taxonomy | ||||
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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.