RX PRO OF ALABAMA LLC (NPI# 1316358344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316358344 |
Entity Type | Organization |
Organization Name | RX PRO OF ALABAMA LLC |
Other Organization Name | RX PRO OF ALABAMA LLC |
Practice Address |
2355 Hartford Hwy Ste 6 Dothan AL 36305-4923 |
Practice Telephone | 6013265378 |
Practice Fax Number | 6013265381 |
Mailing Telephone | 6013265378 |
Mailing Fax Number | 6013265381 |
Enumeration Date | 2014-05-13 |
Last Update Date | 2015-10-14 |
Authorized Official Name | RONNIE TAYLOR (PIC) |
Authorized Official Telephone | 3344460460 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
114347 | AL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2146084 | 01 |
Other Name | Type Code |
---|---|
Rx Pro of Alabama LLC | Doing Business As Name - Organization |
Street Address |
2355 HARTFORD HWY STE 6 |
City | DOTHAN |
State | AL |
Zip Code | 36305-4923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
Find all providers in zip 36305 |
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 |
---|---|---|---|---|
1568990125 | Southeast Pharmacy, LLC. | Pharmacy | 1108 Ross Clark Cir Ste 160, Dothan, AL 36301-3022 | 2017-05-26 |
1922448547 | Mij LLC | Pharmacy | 2812 Hartford Hwy, Suite 1, Dothan, AL 36305-4927 | 2013-06-27 |
1245380591 | Alabama Cvs Pharmacy LLC | Pharmacy | 4601 Montgomery Hwy Ste 300, Dothan, AL 36303-1522 | 2007-01-11 |
1225133275 | Bowen Pharmacy LLC | Pharmacy | 110 Healtheast Drive, Dothan, AL 36303-1282 | 2006-09-14 |
1801999321 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1270 W Main St, Dothan, AL 36301-1414 | 2006-09-07 |
1760585491 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1955 E Main St, Dothan, AL 36301-3015 | 2006-09-07 |
1508969049 | Scott Cook Pharmacy | Pharmacy | 1233 Westgate Pkwy, Dothan, AL 36303 | 2006-09-07 |
1003921024 | Generic Pharmacy | Pharmacy | 2115 E Main St, Ste 3, Dothan, AL 36301-3044 | 2006-08-20 |
1780178640 | Nicholas Andrew Gillespie | Pharmacy | 3300 S Oates St, Dothan, AL 36301-5694 | 2018-06-14 |
1104359041 | Dothan Rx LLC | Pharmacy | 287 Healthwest Dr, Dothan, AL 36303-2031 | 2017-04-07 |
Find all providers in DOTHAN |
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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.