JEFFERSON HEALTH SYSTEM PHARMACY (NPI# 1801836556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801836556 |
| Entity Type | Organization |
| Organization Name | JEFFERSON HEALTH SYSTEM PHARMACY |
| Practice Address |
1308 Tuscaloosa Ave Sw Birmingham AL 35211-1948 |
| Practice Telephone | 2057156129 |
| Practice Fax Number | 2057156201 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GLEN THOMPSON (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2059303359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 180076 | AL | Suppliers |
| X | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0127212 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245271071 | Jefferson Health System Pharmacy | Pharmacy | 1700 Avenue E Ensley, Birmingham, AL 35218-1543 | 2006-06-10 |
| 1588604334 | Jefferson Health System Pharmacy | Pharmacy | 2817 30th Ave N, Birmingham, AL 35207-4541 | 2006-06-08 |
| Street Address |
1308 TUSCALOOSA AVE SW |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703603 | Vera Danette Guevara-egorshin | Pediatrics | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2006-01-04 |
| 1477160927 | Kimberly Ford | Nurse Practitioner | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-09-29 |
| 1134749625 | Daniel Obadare Fijabi | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1841810348 | Christian Lopes | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1255951752 | Gavin Liu | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1447870951 | Sharon Jyoti George | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1700406212 | Megan Diane Ward | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1063032571 | Clara Formby | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1275153736 | Noureen Abbas | Student in an Organized Health Care Education/Training Program | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2020-04-24 |
| 1326680679 | Kinsey Page | Nurse Practitioner | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| 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 |
|---|---|---|---|---|
| 1831747096 | Modern Health Pharmacy of Birmingham | Pharmacy | 33722 Woodward Ave Ste B, Birmingham, MI 48009-0912 | 2019-08-30 |
| 1972082311 | Asteria Specialty Pharmacy | Pharmacy | 5511 Highway 280 Ste 301, Birmingham, AL 35242-1507 | 2018-08-07 |
| 1902346372 | Hematology & Oncology Associates of Alabama LLC | Pharmacy | 513 Brookwood Blvd Ste 65, Birmingham, AL 35209-6862 | 2017-03-03 |
| 1093258915 | Pcs Pharmaceuticals LLC | Pharmacy | 801 S Adams Rd Ste 204, Birmingham, MI 48009-7018 | 2016-11-25 |
| 1033579131 | Priority Healthcare Corporation | Pharmacy | 1678 Montgomery Hwy Ste 344, Birmingham, AL 35216-4900 | 2016-03-02 |
| 1477926657 | Alabama Specialty Rx LLC | Pharmacy | 2728 10th Ave S Ste 340, Birmingham, AL 35205-1202 | 2015-11-10 |
| 1225466378 | Recept Pharmacy, Lp | Pharmacy | 216 Aquarius Drive, Suite 322, Birmingham, AL 35209 | 2013-10-29 |
| 1891122834 | One Source Rx, LLC | Pharmacy | 3008 Clairmont Ave S Ste 100, Birmingham, AL 35205-1113 | 2013-10-05 |
| 1851631998 | Life Watch Pharmacy, LLC | Pharmacy | 211 Summit Parkway, # 118, Birmingham, AL 35209 | 2013-02-27 |
| 1902167745 | Srx Pharmacy Services, Inc. | Pharmacy | 2705 4th Ave S, Birmingham, AL 35233-2707 | 2012-06-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on JEFFERSON HEALTH SYSTEM PHARMACY.
| 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.