TRIAD OF ALABAMA LLC (NPI# 1407890106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407890106 |
| Entity Type | Organization |
| Organization Name | TRIAD OF ALABAMA LLC |
| Other Organization Name | BREATHING CARE - DOTHAN PHARMACY |
| Practice Address |
119 S Woodburn Dr Suite 2 Dothan AL 36305-1050 |
| Mailing Address |
Po Box 1964 Dothan AL 36302-1964 |
| Practice Telephone | 3347939674 |
| Mailing Telephone | 3347939674 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-04-14 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIAD OF ALABAMA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100003547 | 05 |
| Other Name | Type Code |
|---|---|
| Breathing Care - Dothan Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538111646 | Triad of Alabama LLC | Durable Medical Equipment & Medical Supplies | 119 S Woodburn Dr, Suite 1, Dothan, AL 36305-1050 | 2006-05-17 |
| 1063464204 | Triad of Alabama LLC | Clinic/Center | 314 Macon St, Eufaula, AL 36027-1810 | 2006-05-16 |
| 1306898549 | Triad of Alabama LLC | Clinic/Center | 322 Andrews Ave, Suite 2, Ozark, AL 36360-3810 | 2006-05-16 |
| 1740232982 | Triad of Alabama LLC | Clinic/Center | 2423 Martin Luther King Jr Blvd, Panama City, FL 32405-4405 | 2006-05-16 |
| 1700820891 | Triad of Alabama LLC | Clinic/Center | 4300 W Main St, Suite 41, Dothan, AL 36305-1054 | 2006-06-16 |
| 1801830500 | Triad of Alabama LLC | Clinic/Center | 4370 W Main St, Dothan, AL 36305-1056 | 2006-06-15 |
| 1710921416 | Triad of Alabama LLC | Clinical Medical Laboratory | 4370 W Main St, Dothan, AL 36305-1056 | 2006-06-15 |
| 1528013034 | Triad of Alabama LLC | Durable Medical Equipment & Medical Supplies | 121 N Main St, Enterprise, AL 36330-2536 | 2006-05-23 |
| 1225082951 | Triad of Alabama LLC | Family Medicine | 4300 W Main St, Suite 2, Dothan, AL 36305-1054 | 2006-05-19 |
| Street Address |
119 S WOODBURN DR SUITE 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538111646 | Triad of Alabama LLC | Durable Medical Equipment & Medical Supplies | 119 S Woodburn Dr, Suite 1, Dothan, AL 36305-1050 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| 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 |
| 1295832038 | Plaza Pharmacy | Pharmacy | 277 W Main St, Dothan, AL 36301-1627 | 2006-09-20 |
| 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 |
| 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.