PUBLIX ALABAMA LLC (NPI# 1063883536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063883536 |
| Entity Type | Organization |
| Organization Name | PUBLIX ALABAMA LLC |
| Other Organization Name | PUBLIX PHARMACY #1508 |
| Practice Address |
2200 Village Dr Moody AL 35004-3241 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 2056403237 |
| Practice Fax Number | 2053522203 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2015-10-09 |
| 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 |
114555 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2155264 | 01 | |
| AL | 192386 | 05 | |
| AL | 181520 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1508 | 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 |
2200 VILLAGE DR |
| City | MOODY |
| State | AL |
| Zip Code | 35004-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104864669 | Curtis M Eddy Inc | Pharmacy | 2200 Village Dr, Moody, AL 35004-3241 | 2006-06-04 |
| 1316431448 | Rebecca Crenshaw Tindle | Pharmacist | 2200 Village Dr, Moody, AL 35004 | 2018-06-21 |
| 1346748191 | Christopher Lee | Pharmacist | 2200 Village Dr, Moody, AL 35004-3241 | 2018-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757420 | Dpi of Alabama LLC | Pain Medicine | 3310 Kelly Creek Rd, Moody, AL 35004 | 2018-04-17 |
| 1215085212 | Joy D Donaldson | Pharmacist | 1005 Moody Crossroads Drive, Moody, AL 35004 | 2007-01-08 |
| 1780764639 | Robert Anthony Funk | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2006-10-16 |
| 1366436156 | Complete Healthcare Center, Inc. | Family Medicine | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-07 |
| 1386184612 | Katelyn Campisi | Nurse Practitioner | 2834 Moody Pkwy, Moody, AL 35004 | 2017-03-06 |
| 1033653563 | Anne Claire Craig | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2016-12-19 |
| 1366840357 | Christopher Scott Baker | Physical Therapist | 2846 Moody Pkwy Ste 200, Moody, AL 35004 | 2014-12-08 |
| 1376651992 | Lea C Clayton | Family Medicine | 2834 Moody Pkwy, Moody, AL 35004 | 2006-08-25 |
| 1043205776 | Lisa R Newman | Nurse Practitioner | 2701 Moody Parkway, Moody, AL 35004 | 2005-09-19 |
| 1417315938 | Sarah Lanier | Nurse Practitioner | 2455 Moody Pkwy, 486, Moody, AL 35004-1653 | 2016-01-29 |
| Find all providers in zip 35004 | ||||
| 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 |
|---|---|---|---|---|
| 1750783874 | Parkway Pharmacy of Moody, Inc. | Pharmacy | 1021 Crossroads Plaza Drive, Moody, AL 35004-2615 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1104448067 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 201 Governors Dr Sw Ste 305, Huntsville, AL 35801-5170 | 2020-05-14 |
| 1609401678 | Pharmacy Investment Coordinators Inc | Pharmacy | 1301 Andrews Ave, Ozark, AL 36360-3717 | 2020-03-10 |
| 1861025520 | Monroe County Health Care Authority | Pharmacy | 2016 S Alabama Ave Ste D, Monroeville, AL 36460-3044 | 2020-02-20 |
| 1982235230 | Shiftrx Uab Mw, LLC | Pharmacy | 985 9th Ave Sw Ste 100, Bessemer, AL 35022-7810 | 2020-01-27 |
| 1316577943 | Gulf Health Management Services Inc | Pharmacy | 95 Shell St Ste 110, Saraland, AL 36571-2202 | 2020-01-23 |
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| 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.