CRESTLINE PHARMACY INC (NPI# 1659446458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659446458 |
| Entity Type | Organization |
| Organization Name | CRESTLINE PHARMACY INC |
| Practice Address |
60 Church Street Birmingham AL 35213 |
| Practice Telephone | 2058710317 |
| Practice Fax Number | 2058719756 |
| Mailing Telephone | 2058710317 |
| Mailing Fax Number | 2058719756 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALVIN L HAMMERS (OWNER) |
| Authorized Official Telephone | 2058710317 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
102890 | AL | Suppliers |
| Street Address |
60 CHURCH STREET |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447340328 | Alvin L Hammers | Pharmacist | 60 Church Street, Crestline Pharmacy, Birmingham, AL 35213 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| 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 |
| 1053696880 | Elite Rx, LLC | Pharmacy | 135 Gemini Cir Ste 201, Birmingham, AL 35209-5842 | 2011-10-12 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
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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.