DOTHAN BEHAVIORAL MEDICINE CLINIC PC (NPI# 1295166346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295166346 |
| Entity Type | Organization |
| Organization Name | DOTHAN BEHAVIORAL MEDICINE CLINIC PC |
| Other Organization Name | DOTHAN BEHAVIORAL MEDICINE CLINIC PHARMACY |
| Practice Address |
408 Healthwest Dr Dothan AL 36303-2054 |
| Practice Telephone | 3344790541 |
| Practice Fax Number | 3344790586 |
| Mailing Telephone | 3344790541 |
| Mailing Fax Number | 3344790586 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | SUSANNAH DAUGHTRY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3347961548 |
| Authorized Official Credential | B.S. PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
114222 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 154463 | 05 | |
| PK | 2143097 | 01 |
| Other Name | Type Code |
|---|---|
| Dothan Behavioral Medicine Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336277540 | Dothan Behavioral Medicine Clinic PC | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-03-01 |
| Street Address |
408 HEALTHWEST DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750303053 | Susannah C. Daughtry | Pharmacist | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2006-07-24 |
| 1669025854 | Chelesia Burkes-brown | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303 | 2019-07-17 |
| 1578921888 | Jenny Quevedo | Psychologist | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2016-02-01 |
| 1538508643 | Angela Dawkins | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-06-21 |
| 1780020602 | Holley Brock | Counselor | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-05-18 |
| 1336277540 | Dothan Behavioral Medicine Clinic PC | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-03-01 |
| 1154471548 | Nelson Handal | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-01-10 |
| 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 | ||||
Please comment or provide details below to improve the information on DOTHAN BEHAVIORAL MEDICINE CLINIC PC.
| 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.