PUBLIX ALABAMA LLC (NPI# 1063704690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063704690 |
| Entity Type | Organization |
| Organization Name | PUBLIX ALABAMA LLC |
| Other Organization Name | PUBLIX PHARMACY #1369 |
| Practice Address |
3525 Ross Clark Cir Suite 100 Dothan AL 36303-5933 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 3347924812 |
| Practice Fax Number | 3347924628 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | DAIN RUSK (VP PHARMACY) |
| Authorized Official Telephone | 8636881188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
113688 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2130357 | 01 | |
| AL | 129169 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1369 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088983 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 7129 Wall Triana Highway, Madison, AL 35757 | 2019-02-06 |
| 1962985499 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 21 Shell Street, Saraland, AL 36571-6181 | 2018-09-11 |
| 1336641893 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2286 Zierdt Rd Sw, Huntsville, AL 35824-1904 | 2018-03-01 |
| 1508378845 | Publix Alabama LLC | Pharmacy | 1660 Old Monrovia Rd Nw, Huntsville, AL 35806-1544 | 2017-10-26 |
| 1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
| 1801346283 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1147 Us Hwy 231 South, Troy, AL 36081 | 2016-10-10 |
| 1942754403 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 230 20th St S, Birmingham, AL 35233-2022 | 2016-08-12 |
| 1538511274 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 3220 Woodward Ave, Muscle Shoals, AL 35661-3322 | 2016-07-06 |
| 1023489390 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 128 E Grand Ave, Rainbow City, AL 35906-6252 | 2015-10-13 |
| 1437527462 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1104 Cullman Shopping Ctr Nw, Cullman, AL 35055-2855 | 2015-09-08 |
| Street Address |
3525 ROSS CLARK CIR SUITE 100 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229534 | Cassidy Morgan Birge | Pharmacist | 3525 Ross Clark Cir, Dothan, AL 36303-5933 | 2019-11-14 |
| 1114264181 | Bobby Michael Devane | Pharmacist | 3525 Ross Clark Cir, Suite 100, Dothan, AL 36303-5933 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| 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 |
| 1922448547 | Mij LLC | Pharmacy | 2812 Hartford Hwy, Suite 1, Dothan, AL 36305-4927 | 2013-06-27 |
| 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 |
| 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.