PLAZA PHARMACY (NPI# 1295832038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295832038 |
| Entity Type | Organization |
| Organization Name | PLAZA PHARMACY |
| Practice Address |
277 W Main St Dothan AL 36301-1627 |
| Practice Telephone | 3347927900 |
| Practice Fax Number | 3346711303 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GEORGE HAMMOND (PRESIDENT) |
| Authorized Official Telephone | 3347927900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 0069248 | AL | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0106080 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740291384 | Plaza Pharmacy | Durable Medical Equipment & Medical Supplies | 30711 Utica Rd, Roseville, MI 48066-1522 | 2006-08-10 |
| 1821032343 | Plaza Pharmacy | Pharmacist | 2818a Kennedy Blvd, Jersey City, NJ 07306-3902 | 2006-06-15 |
| 1114096179 | Plaza Pharmacy | Pharmacy | 1 Erie Ct, Oak Park, IL 60302-2566 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PLAZA PHARMACY INC. | 4399 Nw 124th Ave, Coral Springs, FL 33065 |
| Washington State Corporations | PLAZA PHARMACY INC. | 4399 Nw 124th Ave, Coral Springs, FL 33065 |
| Virginia Business Entities | Plaza Pharmacy LLC | Us Hwy 460, Po Box 843, Grundy, Virginia 24614 |
| New York State Corporations | PLAZA PHARMACY, INC. | 201-16 Hillside Ave, Jamaica, New York 11423 |
| Massachusetts Corporations | PLAZA PHARMACY, INCORPORATED | 246 East St., Ludlow, MA 01056 |
| Street Address |
277 W MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285100248 | Allen's Pharmacy | Pharmacy | 1518 W Main St Ste 2, Dothan, AL 36301-1372 | 2018-10-17 |
| 1760996573 | Dothan Pharmacy Inc | Pharmacy | 301 W Inez Rd Ste 8, Dothan, AL 36301-5678 | 2017-12-01 |
| 1316358344 | Rx Pro of Alabama LLC | Pharmacy | 2355 Hartford Hwy Ste 6, Dothan, AL 36305-4923 | 2014-05-13 |
| 1831405729 | Publix Alabama LLC | Pharmacy | 1620 Ross Clark Cir, Dothan, AL 36301-5439 | 2010-08-30 |
| 1508917584 | Medical Arts Pharmacy Inc | Pharmacy | 219 Fortner St, Dothan, AL 36301-2405 | 2007-01-16 |
| 1982797346 | Southern Family Markets LLC | Pharmacy | 3090 Ross Clark Cir, Dothan, AL 36301-1122 | 2006-09-30 |
| 1225048903 | Scott-cook Pharmacy | Pharmacy | 1233 Westgate Pkwy., Dothan, AL 36303 | 2006-08-08 |
| 1407872666 | Polk's Crossgate Discount Drugs Inc. | Pharmacy | 3119 Wesley Way Ste 6, Ste 6, Dothan, AL 36305-2000 | 2006-07-14 |
| 1346210549 | Kroger Specialty Infusion Al, LLC | Pharmacy | 2511 Ross Clark Cir, Dothan, AL 36301-4912 | 2006-01-23 |
| 1295166346 | Dothan Behavioral Medicine Clinic PC | Pharmacy | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-11-27 |
| 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.