PCM PHARMACY (NPI# 1831104462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831104462 |
| Entity Type | Organization |
| Organization Name | PCM PHARMACY |
| Other Organization Name | PROFESSIONAL CUSTOMIZED MEDICATIONS |
| Practice Address |
1621 Highway 72 Killen AL 35645-9142 |
| Mailing Address |
Po Box 99 Killen AL 35645-0099 |
| Practice Telephone | 2567571956 |
| Practice Fax Number | 2567571936 |
| Mailing Telephone | 2567571956 |
| Mailing Fax Number | 2567571936 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | WILLIAM WOOD (MGR MEMBER) |
| Authorized Official Telephone | 2567571956 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
111538 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0129191 | 01 | |
| AL | 100003101 | 05 |
| Other Name | Type Code |
|---|---|
| PROFESSIONAL CUSTOMIZED MEDICATIONS | Doing Business As Name - Organization |
| Street Address |
1621 HIGHWAY 72 |
| City | KILLEN |
| State | AL |
| Zip Code | 35645-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104831734 | Killen Drugs Inc | Pharmacy | 1621 Highway 72, Killen, AL 35645-9142 | 2006-07-30 |
| 1508875725 | Elivabeth Ann Cox | Pharmacist | 1621 Highway 72, Killen, AL 35645-9142 | 2006-08-05 |
| 1912916149 | Tommy Elvis Whitehead | Pharmacist | 1621 Highway 72, Killen, AL 35645-9142 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770030843 | Advantage Health Solutions,llc | Family Medicine | 6492 Hwy 72, Killen, AL 35645 | 2016-09-07 |
| 1871713032 | Obrien Orthopedic PC | Orthopaedic Surgery | 6490 Highway 72, Athens, AL 35645 | 2007-04-27 |
| 1376656793 | W Barry Wood | Pharmacist | 1621 Hwy 72, Killen, AL 35645 | 2006-08-17 |
| 1811975881 | Misty White Robertson | Nurse Practitioner | 351 Highway 64, Killen, AL 35645 | 2006-01-09 |
| 1467443424 | David Alan Hollis | Family Medicine | 148 J C Mauldin Highway, Killen, AL 35645 | 2005-10-31 |
| 1093717696 | Steve E Wampler | Emergency Medicine | 351 Hwy 64, Killen, AL 35645 | 2005-08-12 |
| 1942408877 | Meares Family Chiropractic, Inc | Chiropractor | 5750 Highway 72 East, Killen, AL 35645 | 2007-07-03 |
| 1639234982 | Greenhill Family Clinic, LLC | Clinic/Center | 351 Highway 64, Killen, AL 35645 | 2006-12-27 |
| 1841203155 | Elizabeth Nelson Plott | Pharmacist | 1161 Highway 72, Killen, AL 35645 | 2006-08-15 |
| 1295782696 | Alton Paul Reed | Emergency Medicine | 9173 Turtle Point Dr, Killen, AL 35645-2853 | 2006-05-30 |
| Find all providers in zip 35645 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1598232654 | Starmark Partners Inc | Pharmacy | 165 Chestnut Dr Ste B, Madison, AL 35758-9525 | 2018-10-26 |
| 1922451020 | Covenant Specialty Therapeutics, Inc | Pharmacy | 1707 Hillyer Robinson Industrial Pkwy S, Suite B, Oxford, AL 36203-1373 | 2016-07-13 |
| 1154712685 | K L Arnold Enterprises Inc | Pharmacy | 1726 Cherokee Ave Sw Ste A, Cullman, AL 35055-5383 | 2015-02-05 |
| 1801089875 | Hemophilia Infusion Managers LLC | Pharmacy | 3142 1st Ave, Loxley, AL 36551-4569 | 2007-08-23 |
| 1902931561 | Bishops Scant City Pharmacy & Gifts Inc | Pharmacy | 8095 Al Highway 69, Guntersville, AL 35976-7140 | 2007-02-23 |
| 1700938974 | Auburn University | Pharmacy | 2150 Walker Building, Auburn, AL 36849-5501 | 2007-01-17 |
| 1902961618 | Freeman Pharmacy, Inc. | Pharmacy | 209 W Mlk Hwy, Suite D, Tuskegee, AL 36083-2104 | 2006-12-22 |
| 1194810036 | Huntsville Compounding Pharmacy Inc | Pharmacy | 2121 Whitesburg Dr Se, Ste E, Huntsville, AL 35801-4501 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
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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.