HERITAGE PHARMACY, INC. (NPI# 1780775700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780775700 |
| Entity Type | Organization |
| Organization Name | HERITAGE PHARMACY, INC. |
| Practice Address |
3151 Knollwood Dr Mobile AL 36693-2753 |
| Mailing Address |
6207 Cottage Hill Rd Suite G Mobile AL 36609-3113 |
| Practice Telephone | 2516617600 |
| Practice Fax Number | 2516029160 |
| Mailing Telephone | 2516660250 |
| Mailing Fax Number | 2516601451 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HENRY B FULGHAM (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 2513439600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 200374 | AL | Suppliers |
| Street Address |
3151 KNOLLWOOD DR |
| City | MOBILE |
| State | AL |
| Zip Code | 36693-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275639429 | Gordon Oaks Convalescent Center, Inc. | Alzheimer Center (Dementia Center) | 3151 Knollwood Dr, Mobile, AL 36693-2753 | 2006-09-15 |
| 1033215215 | Contemporary Assisted Living, Inc. | Assisted Living Facility | 3151 Knollwood Dr, Mobile, AL 36693-2753 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265628887 | Hospice Complete, Inc | Hospice Care, Community Based | 826 Lakeside Drive, Mobile, AL 36693 | 2007-09-18 |
| 1982823548 | Eric Carey Dekle | Physical Therapist | 1220 Azalea Road, Mobile, AL 36693 | 2007-04-24 |
| 1528189198 | Roy Edward Kadel | Chiropractor | 3504 Shadow Wood Court, Mobile, AL 36693 | 2007-04-02 |
| 1578606174 | John P Kline | Psychologist | 5406 Spring Dr, Mobile, AL 36693 | 2007-02-14 |
| 1083751374 | Adeel Rabbani | Psychiatry & Neurology | 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 | 2007-01-30 |
| 1669541595 | Alison Rester Akridge | Dentist | 3977 Burma Rd, Mobile, AL 36693 | 2006-11-07 |
| 1376612200 | Skyline Family Dental Care PC | Dentist | 3977 Burma Road, Mobile, AL 36693 | 2006-11-07 |
| 1740373240 | Russell H. Porter | Physical Therapist | 2496 Muir Woods Dr West, Mobile, AL 36693 | 2006-10-02 |
| 1356390702 | Mobility Medical of North | Durable Medical Equipment & Medical Supplies | 3954 Demetropolis Rd, Mobile, AL 36693 | 2006-05-10 |
| 1043441041 | Renee' Huff | Social Worker | 5750a Southland Dr, Mobile, AL 36693 | 2009-08-07 |
| Find all providers in zip 36693 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023512829 | Jkld II LLC | Pharmacy | 1 S Royal St, Mobile, AL 36602-3234 | 2018-03-19 |
| 1003228701 | Dawes Family Pharmacy, LLC | Pharmacy | 8650 Cottage Hill Rd, Suite 101, Mobile, AL 36695-3612 | 2014-05-29 |
| 1881963460 | Three Notch Pharmacy LLC | Pharmacy | 4880 Lakeland Dr Ste F, Mobile, AL 36619-1122 | 2011-12-28 |
| 1497055347 | Prescription Pros Inc | Pharmacy | 2152 Airport Blvd Ste 107, Mobile, AL 36606-1751 | 2010-10-26 |
| 1598802720 | Pmoa Inc. | Pharmacy | 676 University Blvd S, Mobile, AL 36609-7866 | 2007-01-30 |
| 1215087523 | Skyland Discount Drugs | Pharmacy | 3968 Government Blvd, Mobile, AL 36693-4723 | 2007-01-11 |
| 1588742779 | American Homepatient, Inc. | Pharmacy | 7 Mcgregor Ave S, Mobile, AL 36608-1826 | 2006-11-02 |
| 1942303672 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 2280 Mlk Blvd, Mobile, AL 36610 | 2006-09-07 |
| 1144323866 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 2550 Dauphin St, Mobile, AL 36606-4821 | 2006-09-07 |
| 1740395938 | Brunos Inc | Pharmacy | 3170 Dauphin St, Mobile, AL 36606-4005 | 2006-08-20 |
| Find all providers in MOBILE | ||||
Please comment or provide details below to improve the information on HERITAGE PHARMACY, INC..
| 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.