MOUNDVILLE MEDICAL PLAZA INC. (NPI# 1013032648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013032648 |
| Entity Type | Organization |
| Organization Name | MOUNDVILLE MEDICAL PLAZA INC. |
| Practice Address |
16061 Hwy 69 South Moundville AL 35474 |
| Mailing Address |
16061 Hwy 69 South P.o. Box 551 Moundville AL 35474 |
| Practice Telephone | 2053719031 |
| Practice Fax Number | 2053719074 |
| Mailing Telephone | 2053719031 |
| Mailing Fax Number | 2053719074 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. CLIFFORD ALLEN HARLAND JR. (PRESIDENT) |
| Authorized Official Telephone | 2053719031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100001507 | 05 |
| Street Address |
16061 HWY 69 SOUTH |
| City | MOUNDVILLE |
| State | AL |
| Zip Code | 35474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655846 | Restore Therapy Services, Ltd. | Physical Therapist | 40890 Alabama Highway 69, Moundville, AL 35474 | 2018-10-16 |
| 1285046110 | Andrea Brown Stringfellow | Nurse Practitioner | 16063 Alabama Highway 69, Moundville, AL 35474 | 2014-05-27 |
| 1700211745 | Encore Rehabilitation, Inc. | Clinic/Center | 50 Wildcat Way, Moundville, AL 35474 | 2013-09-10 |
| 1831139898 | Moundville Health and Rehabilitation, LLC | Skilled Nursing Facility | 121 Union St, Moundville, AL 35474 | 2006-06-07 |
| 1760472674 | Heather Phillips Whitley | Pharmacist | 16063 Hwy 69 South, Moundville Medical Center, Moundville, AL 35474 | 2005-10-24 |
| 1093125874 | Rachel Phillips | Occupational Therapist | 306 Washington St, Livingston, AL 35474 | 2014-05-02 |
| 1427482389 | Francis J Woods Iv | Physical Therapist | 121 Union St, Moundsville, AL 35474 | 2013-08-28 |
| 1649458605 | Dr Larry O Skelton Md PC | Nurse Practitioner | 16063 Hwy 69 South, Moundville, AL 35474 | 2008-02-01 |
| 1942382908 | Clifford Allen Harland Jr. | Pharmacist | 16061 Hwy 69 S Moundville Medical Plaza, Moundville, AL 35474-0551 | 2006-10-19 |
| 1144727231 | Ronaka Latrice Paster | Social Worker | 796 Jamie Ln, Moundville, AL 35474-4286 | 2018-04-06 |
| Find all providers in zip 35474 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942382908 | Clifford Allen Harland Jr. | Pharmacist | 16061 Hwy 69 S Moundville Medical Plaza, Moundville, AL 35474-0551 | 2006-10-19 |
| 1760472674 | Heather Phillips Whitley | Pharmacist | 16063 Hwy 69 South, Moundville Medical Center, Moundville, AL 35474 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1225637929 | Jessica Lynn Bogucki | Pharmacist | 5324 Bristolwood Cir, Northport, AL 35475-5938 | 2020-10-22 |
| 1770181018 | Patrick R Brown | Pharmacist | 1167 County Road 437 Ste A, Cullman, AL 35055-0203 | 2020-10-09 |
| 1124625835 | Nancy Kickliter | Pharmacist | 404 Beach Island Trce, Dadeville, AL 36853-4615 | 2020-10-06 |
| 1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
| 1750988846 | Margaret Braden | Pharmacist | 561 Sr-69, Hanceville, AL 35077 | 2020-10-02 |
| 1891302857 | Christopher Hamilton Vought | Pharmacist | 3201 Endeavor Ln, Vestavia, AL 35242-8250 | 2020-09-24 |
| 1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
| 1396352456 | Lindsey Hawkins | Pharmacist | 350 County Road 723, Cullman, AL 35055-9040 | 2020-09-23 |
| 1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNDVILLE |
| Zip Code | 35474 |
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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.