MIJ LLC (NPI# 1922448547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922448547 |
| Entity Type | Organization |
| Organization Name | MIJ LLC |
| Other Organization Name | TRI-STATE COMMUNITY PHARMACY |
| Practice Address |
2812 Hartford Hwy Suite 1 Dothan AL 36305-4927 |
| Practice Telephone | 3347121170 |
| Practice Fax Number | 3347121170 |
| Mailing Telephone | 3347121170 |
| Mailing Fax Number | 3347121170 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | DR. SHAKIR MEGHANI (CEO) |
| Authorized Official Telephone | 3346698622 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Tri-State Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063852689 | Mij LLC | Pharmacy | 1970 Andrews Ave, Ozark, AL 36360-3726 | 2013-06-27 |
| Street Address |
2812 HARTFORD HWY SUITE 1 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880014 | Tiffany J Roberts | Family Medicine | 2812 Hartford Hwy, Dothan, AL 36305-4927 | 2020-07-31 |
| 1528694569 | Zhi Yuan Zheng | Pharmacist | 2812 Hartford Hwy, Dothan, AL 36305-4927 | 2020-03-22 |
| 1982090767 | Oltea Munteanu | Nurse Practitioner | 2812 Hartford Hwy, Suite 1, Dothan, AL 36305-4927 | 2015-04-08 |
| 1316331101 | Mantrust, LLC | Family Medicine | 2812 Hartford Hwy, Suite 1, Dothan, AL 36305-4927 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| 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 |
|---|---|---|---|---|
| 1568990125 | Southeast Pharmacy, LLC. | Pharmacy | 1108 Ross Clark Cir Ste 160, Dothan, AL 36301-3022 | 2017-05-26 |
| 1245380591 | Alabama Cvs Pharmacy LLC | Pharmacy | 4601 Montgomery Hwy Ste 300, Dothan, AL 36303-1522 | 2007-01-11 |
| 1225133275 | Bowen Pharmacy LLC | Pharmacy | 110 Healtheast Drive, Dothan, AL 36303-1282 | 2006-09-14 |
| 1801999321 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1270 W Main St, Dothan, AL 36301-1414 | 2006-09-07 |
| 1760585491 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1955 E Main St, Dothan, AL 36301-3015 | 2006-09-07 |
| 1508969049 | Scott Cook Pharmacy | Pharmacy | 1233 Westgate Pkwy, Dothan, AL 36303 | 2006-09-07 |
| 1003921024 | Generic Pharmacy | Pharmacy | 2115 E Main St, Ste 3, Dothan, AL 36301-3044 | 2006-08-20 |
| 1780178640 | Nicholas Andrew Gillespie | Pharmacy | 3300 S Oates St, Dothan, AL 36301-5694 | 2018-06-14 |
| 1104359041 | Dothan Rx LLC | Pharmacy | 287 Healthwest Dr, Dothan, AL 36303-2031 | 2017-04-07 |
| 1518403914 | Generic Pharmacy-dothan LLC | Pharmacy | 2115 E Main St, Suite #4, Dothan, AL 36301-3044 | 2017-01-10 |
| Find all providers in DOTHAN | ||||
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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.