ALABAMA CVS PHARMACY L L C (NPI# 1902153232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902153232 |
| Entity Type | Organization |
| Organization Name | ALABAMA CVS PHARMACY L L C |
| Other Organization Name | CVS PHARMACY # 07077 |
| Practice Address |
1204 Dr Mlk Expressway Audalusia AL 36420 |
| Mailing Address |
One Cvs Drive Woonsocket RI 02895-6146 |
| Practice Telephone | 3342220518 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | AL | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AL | Suppliers | |
| Y | 333600000X | Pharmacy | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1902153232 | 05 | |
| AL | NCPDP | 0138099 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 07077 | Doing Business As Name - Organization |
| Street Address |
1204 DR MLK EXPRESSWAY |
| City | AUDALUSIA |
| State | AL |
| Zip Code | 36420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184289 | Amber Bryant Seay | Pharmacist | 1991 Mlk Expressway, Andalusia, AL 36420 | 2017-06-14 |
| 1780114587 | Jenifer Harper Stanford | Pharmacist | 1991 M.l. King Jr. Expressway, Andalusia, AL 36420 | 2017-06-14 |
| 1306379797 | Therapy South Andalusia LLC | Physical Therapist | 811 B West Bypass, Andalusia, AL 36420 | 2017-04-04 |
| 1205207685 | Christina Mullen | Hearing Instrument Specialist | 504b East Three Notch St, Andalusia, AL 36420 | 2015-10-12 |
| 1831526029 | Jana M. Mallder | Nurse Practitioner | 508 E Three Notch St # 100, Andalusia, AL 36420 | 2013-10-02 |
| 1457644320 | Christian Sanders Bentley | Pharmacist | 1017 River Falls Street, Andalusia, AL 36420 | 2011-05-25 |
| 1306152624 | James L Barton LLC | Optometrist | 500 Westgate Plaza, Andalusia, AL 36420 | 2010-08-24 |
| 1538337035 | Olive Tree Healthcare PC | Internal Medicine | 301 Medical Avenue, Suite B, Andalusia, AL 36420 | 2008-02-19 |
| 1528255601 | Vyas & Vyas PC (change) | Internal Medicine | 1212 East Three Notch Street, Andalusia, AL 36420 | 2007-10-02 |
| 1356547582 | Carl Edward Nelson Estate | Chiropractor | 947 South Three Notch St, Andalusia, AL 36420 | 2007-06-25 |
| Find all providers in zip 36420 | ||||
| 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 |
|---|---|---|---|---|
| 1699372771 | The Medicine Shoppe | Pharmacy | 2006 Danville Rd Sw Ste C, Decatur, AL 35601-4640 | 2020-10-02 |
| 1730704024 | St. Vincent's Blount | Pharmacy | 150 Gilbreath Dr Ste 104, Oneonta, AL 35121-2827 | 2020-06-11 |
| 1750914545 | Alabama Ltc Pharmacy LLC | Pharmacy | 611 Mcfarland Blvd Ste D, Northport, AL 35476-3333 | 2020-02-19 |
| 1497387757 | Double A Drugs LLC | Pharmacy | 42746 Hwy 25, Vincent, AL 35178 | 2020-02-05 |
| 1700421286 | Florala Pharmacy Inc | Pharmacy | 402 Meeting Avenue, Georgiana, AL 36033 | 2019-11-08 |
| 1447800198 | Jonathan Beasley Pharmacy Inc | Pharmacy | 55314 Highway 17 Ste D, Sulligent, AL 35586-4546 | 2019-09-16 |
| 1841844255 | Village Drugs LLC | Pharmacy | 716 Skelton Ave, Gardendale, AL 35071-2809 | 2019-07-25 |
| 1902377716 | Sylacauga Pharmacy, LLC | Pharmacy | 1244 Talladega Hwy, Sylacauga, AL 35150-1603 | 2018-12-06 |
| 1285100248 | Allen's Pharmacy | Pharmacy | 1518 W Main St Ste 2, Dothan, AL 36301-1372 | 2018-10-17 |
| 1972082311 | Asteria Specialty Pharmacy | Pharmacy | 5511 Highway 280 Ste 301, Birmingham, AL 35242-1507 | 2018-08-07 |
| 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.