LOCUST FORK PHARMACY, LLC (NPI# 1235240532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235240532 |
| Entity Type | Organization |
| Organization Name | LOCUST FORK PHARMACY, LLC |
| Practice Address |
29984 State Highway 79 Suite 600 Locust Fork AL 35097-5878 |
| Mailing Address |
Po Box 52 Locust Fork AL 35097-0052 |
| Practice Telephone | 2056802222 |
| Practice Fax Number | 2056802200 |
| Mailing Telephone | 2056802222 |
| Mailing Fax Number | 2056802200 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHNNY HOYT CLEVELAND (PHARMACIST AND OWNER) |
| Authorized Official Telephone | 2056802222 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13351 | AL | Pharmacy Service Providers |
| Street Address |
29984 STATE HIGHWAY 79 SUITE 600 |
| City | LOCUST FORK |
| State | AL |
| Zip Code | 35097-5878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891806105 | Johnny Hoyt Cleveland | Pharmacist | 29984 State Highway 79, Locust Fork, AL 35097-5878 | 2006-08-31 |
| 1669992459 | Margaret Gray Pond | Dentist | 29984 State Highway 79, Locust Fork, AL 35097-5878 | 2017-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457514499 | Rachel Glynn Osborne | Dentist | 29984 State Hwy 79, Suite 300, Locust Fork, AL 35097 | 2008-07-09 |
| 1386158293 | Locust Fork Family Dentistry, Inc. | Dentist | 29984 State Highway 79 Ste 300, Locust Fork, AL 35097-5877 | 2017-11-30 |
| 1013307081 | Whitney Breanna Waid | Pharmacist | 29984 State Highway 79 Ste 600, Locust Fork, AL 35097-5879 | 2015-01-29 |
| 1962002386 | Jeffery Scott Neaves | Counselor | 440 Massey Rd, Locust Fork, AL 35097-5940 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002386 | Jeffery Scott Neaves | Counselor | 440 Massey Rd, Locust Fork, AL 35097-5940 | 2020-10-26 |
| 1386158293 | Locust Fork Family Dentistry, Inc. | Dentist | 29984 State Highway 79 Ste 300, Locust Fork, AL 35097-5877 | 2017-11-30 |
| 1013307081 | Whitney Breanna Waid | Pharmacist | 29984 State Highway 79 Ste 600, Locust Fork, AL 35097-5879 | 2015-01-29 |
| 1457514499 | Rachel Glynn Osborne | Dentist | 29984 State Hwy 79, Suite 300, Locust Fork, AL 35097 | 2008-07-09 |
| 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 |
|---|---|---|---|---|
| 1013307081 | Whitney Breanna Waid | Pharmacist | 29984 State Highway 79 Ste 600, Locust Fork, AL 35097-5879 | 2015-01-29 |
| 1891806105 | Johnny Hoyt Cleveland | Pharmacist | 29984 State Highway 79, Locust Fork, AL 35097-5878 | 2006-08-31 |
| 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 | LOCUST FORK |
| Zip Code | 35097 |
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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.