SPECIAL FORMULA PRESCRIPTIONS INC (NPI# 1568527711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568527711 |
| Entity Type | Organization |
| Organization Name | SPECIAL FORMULA PRESCRIPTIONS INC |
| Other Organization Name | SPECIAL FORMULA PRESCRIPTIONS |
| Practice Address |
3918 Montclair Rd Ste 203 Mountain Brk AL 35213-2425 |
| Practice Telephone | 2058717445 |
| Practice Fax Number | 2058717446 |
| Mailing Telephone | 2058717445 |
| Mailing Fax Number | 2058717446 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-11-20 |
| Authorized Official Name | DAVID BENEFIELD (PRESIDENT) |
| Authorized Official Telephone | 2058717445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
111716 | AL | Suppliers |
| Other Name | Type Code |
|---|---|
| Special Formula Prescriptions | Doing Business As Name - Organization |
| Street Address |
3918 MONTCLAIR RD STE 203 |
| City | MOUNTAIN BRK |
| State | AL |
| Zip Code | 35213-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164764528 | Dermlab, LLC | Pathology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2013-03-25 |
| 1164646238 | Charles Andrew Parrish | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2007-04-12 |
| 1568519445 | Stephen E. Mason | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2007-01-04 |
| 1134157597 | Michael Keith Jacobs | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164966859 | Whitaker Drugs LLC | Pharmacy | 20 Camden Byp, Camden, AL 36726-1770 | 2016-12-14 |
| 1447617642 | R & R Wholesale Distributors Inc | Pharmacy | 237 Oxmoor Cir Ste 109, Birmingham, AL 35209-6436 | 2016-01-20 |
| 1417348533 | Massey Drugs Inc | Pharmacy | 218 E 5th St Ste 1, Tuscumbia, AL 35674-2520 | 2015-02-11 |
| 1598019804 | Precision Rx LLC | Pharmacy | 3325 Rocky Ridge Plz, Suite 207, Vestavia, AL 35243-4411 | 2012-11-08 |
| 1144578261 | Cloverland Drugs, Inc | Pharmacy | 1716 Taliaferro Trl, Montgomery, AL 36117-7759 | 2012-08-21 |
| 1861753865 | Total Care Solutions Inc | Pharmacy | 26450 Pollard Rd, Daphne, AL 36526-4273 | 2012-06-06 |
| 1154693737 | Double Oak Mountain Pharmacy LLC | Pharmacy | 5510 Highway 280 Ste 123, Birmingham, AL 35242-6582 | 2012-01-30 |
| 1689954935 | Brindleys Family Pharmacy | Pharmacy | 305 N Carlisle St, Albertville, AL 35950-1731 | 2011-08-18 |
| 1578857108 | Gentry Pharmacy LLC | Pharmacy | 4700 Cahaba River Rd Ste B, Vestavia, AL 35243-2325 | 2011-05-31 |
| 1245529494 | C & R Pharmacy | Pharmacy | 4682 Airport Blvd Ste A, Mobile, AL 36608-3124 | 2011-03-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN BRK |
| Zip Code | 35213 |
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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.