UNIVERSITY OF SOUTH ALABAMA (NPI# 1376032847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376032847 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Other Organization Name | MITCHELL CANCER INSTITUTE PHARMACY |
| Practice Address |
1660 Spring Hill Ave Mobile AL 36604-1405 |
| Practice Telephone | 2514106337 |
| Practice Fax Number | 2514104955 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | CAROLYN DEMOUY (PHARMACY COORDINATOR) |
| Authorized Official Telephone | 2514106337 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | DEA | FM7543247 | 01 |
| AL | NCPDP | 0143482 | 01 |
| Other Name | Type Code |
|---|---|
| MCIRx | Doing Business As Name - Organization |
| Mitchell Cancer Institute Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862078 | University of South Alabama | Internal Medicine | 75 S University Blvd Ucom 6000 B, Mobile, AL 36688-0002 | 2016-03-02 |
| 1972963064 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mastin Bldg 102, Mobile, AL 36617-2238 | 2016-03-02 |
| 1992013593 | University of South Alabama | Clinic/Center | 1119 Hahn, 5721 Usa North Drive, Mobile, AL 36688-0002 | 2010-09-16 |
| 1689995748 | University of South Alabama | General Acute Care Hospital | 251 Cox St Ste 100, Mobile, AL 36604-3302 | 2010-06-11 |
| 1235290628 | University of South Alabama | Case Management | 1714 Center St, Mobile, AL 36604-3301 | 2006-12-12 |
| 1992746838 | University of South Alabama | Internal Medicine | 5870 Alumni Cir, Mobile, AL 36688-0001 | 2006-06-10 |
| 1972138022 | University of South Alabama | General Acute Care Hospital | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-10 |
| 1760959613 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1205303153 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1295202141 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH ALABAMA | 307 Univeristy Blvd 380 Administration Bldg, Mobile, AL 36688-3053 |
| Street Address |
1660 SPRING HILL AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396787230 | Thomas Wayne Butler | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2006-06-12 |
| 1316565674 | Jamie Leighann Rich | Nurse Practitioner | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2020-07-13 |
| 1871150508 | Usa Health Physician Billing Services LLC | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2019-05-29 |
| 1881189579 | Brittney S Carden | Pharmacist | 1660 Spring Hill Ave, Ste 3069, Mobile, AL 36604 | 2018-06-26 |
| 1114453172 | Crystin Nash Gulledge | Physician Assistant | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2017-05-11 |
| 1801340484 | Marjorie Leah Seltzer | Nurse Practitioner | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2016-08-11 |
| 1447601059 | Alhareth Alsayed | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2016-06-24 |
| 1710388509 | Vanessa Langham Jones | Nurse Practitioner | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2014-09-11 |
| 1457778961 | Sanjyot Bhadkamkar | Nurse Practitioner | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2014-03-21 |
| 1932545407 | Linda Paige Chavers | Nurse Practitioner | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| 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 |
|---|---|---|---|---|
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1184078024 | Gulf Coast Dermatology & Skin Care Centre Pllc | Pharmacy | 580 Providence Park Dr E Ste 202, Suite 202, Mobile, AL 36695-4614 | 2016-04-18 |
| 1801290523 | Clinic Pharmacy, Inc | Pharmacy | 1359 Spring Hill Ave Ste B, Mobile, AL 36604-3210 | 2014-10-09 |
| 1912323544 | Rx Express Pharmacy of Tillman's Corner, Inc. | Pharmacy | 5638 Three Notch Rd, Mobile, AL 36619-1724 | 2014-03-06 |
| 1265668289 | Professional Pharmacy, Inc | Pharmacy | 4415 Old Shell Rd, Mobile, AL 36608-1911 | 2009-06-04 |
| 1275768772 | Southern Family Markets LLC | Pharmacy | 306 S University Blvd, Mobile, AL 36609-2909 | 2009-05-28 |
| 1144415720 | Walgreen Co | Pharmacy | 6395 Airport Blvd, Mobile, AL 36608-3131 | 2007-09-07 |
| 1376619205 | Deuel Drug Store Inc | Pharmacy | 2710 Springhill Ave, Mobile, AL 36607-2918 | 2006-11-24 |
| 1427152305 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 7081 Airport Blvd, Mobile, AL 36608-3712 | 2006-09-12 |
| 1245334127 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 900 Government St, Mobile, AL 36604-2402 | 2006-09-12 |
| Find all providers in MOBILE | ||||
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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.