JEFFERSON HEALTH SYSTEM PHARMACY (NPI# 1588604334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588604334 |
| Entity Type | Organization |
| Organization Name | JEFFERSON HEALTH SYSTEM PHARMACY |
| Practice Address |
2817 30th Ave N Birmingham AL 35207-4541 |
| Mailing Address |
601 West Blvd Birmingham AL 35206-1300 |
| Practice Telephone | 2055216855 |
| Practice Fax Number | 2055216854 |
| Mailing Telephone | 2058384310 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-12-18 |
| Authorized Official Name | GLEN THOMPSON (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2059182352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 140009 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100003671 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0124507 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245271071 | Jefferson Health System Pharmacy | Pharmacy | 1700 Avenue E Ensley, Birmingham, AL 35218-1543 | 2006-06-10 |
| 1801836556 | Jefferson Health System Pharmacy | Pharmacy | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 | 2006-06-08 |
| Street Address |
2817 30TH AVE N |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35207-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306806591 | Verbena Maria Sugg | Pediatrics | 2817 30th Ave N, Birmingham, AL 35207-4541 | 2006-03-23 |
| 1184246076 | Felicia Shaw | Pharmacist | 2817 30th Ave N, Birmingham, AL 35207-4541 | 2020-05-13 |
| 1639710395 | Alabama Regional Medical Services | Pharmacy | 2817 30th Ave N, Birmingham, AL 35207-4541 | 2019-10-03 |
| 1760956148 | Alabama Regional Medical Services | Family Medicine | 2817 30th Ave N, Birmingham, AL 35207-4541 | 2019-01-18 |
| 1821473513 | Brian Wingate | Nurse Practitioner | 2817 30th Ave N, Birmingham, AL 35207-4541 | 2015-07-23 |
| 1184059313 | Jessica Blair Fann | Pharmacist | 2817 30th Ave N, Birmingham, AL 35207-4541 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402290 | Eric Wotari Harris | Technician | 2128 35th Avenue North, Birmingham, AL 35207 | 2019-08-16 |
| 1659674190 | Renal Treatment Centers- Southeast Lp | Clinic/Center | 3007 27th St N, Birmingham, AL 35207 | 2010-12-06 |
| 1629228564 | Medcare Life LLC | Durable Medical Equipment & Medical Supplies | 2517 30th Ave North, Birmingham, AL 35207 | 2008-09-29 |
| 1912508466 | Latoya Latrice White | Licensed Practical Nurse | 1636 N Brownlee St, Birmingham, AL 35207-1100 | 2020-11-02 |
| 1669032686 | Erica Storey | In Home Supportive Care | 4804 Allen St, Birmingham, AL 35207-1210 | 2019-06-20 |
| 1679134324 | Best Life Senior Care | In Home Supportive Care | 4804 Allen St, Birmingham, AL 35207-1210 | 2019-06-24 |
| 1699989368 | Vivian Yvonne Madison | Occupational Therapist | 4863 Hutson Ave, Birmingham, AL 35207-1215 | 2007-05-10 |
| 1336353036 | Jlt Therapeutic Services,inc. | Occupational Therapist | 4863 Hutson Ave, Birmingham, AL 35207-1215 | 2007-05-10 |
| 1467070946 | Caring Hands Care Services LLC | Home Health | 117 40th Ave W, Birmingham, AL 35207-2400 | 2020-07-10 |
| 1174051593 | Pamela Elizabeth Banks | Specialist | 3700 Fl Shuttlesworth Dr, Birmingham, AL 35207-3044 | 2017-05-30 |
| Find all providers in zip 35207 | ||||
| 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 |
|---|---|---|---|---|
| 1831747096 | Modern Health Pharmacy of Birmingham | Pharmacy | 33722 Woodward Ave Ste B, Birmingham, MI 48009-0912 | 2019-08-30 |
| 1972082311 | Asteria Specialty Pharmacy | Pharmacy | 5511 Highway 280 Ste 301, Birmingham, AL 35242-1507 | 2018-08-07 |
| 1902346372 | Hematology & Oncology Associates of Alabama LLC | Pharmacy | 513 Brookwood Blvd Ste 65, Birmingham, AL 35209-6862 | 2017-03-03 |
| 1093258915 | Pcs Pharmaceuticals LLC | Pharmacy | 801 S Adams Rd Ste 204, Birmingham, MI 48009-7018 | 2016-11-25 |
| 1033579131 | Priority Healthcare Corporation | Pharmacy | 1678 Montgomery Hwy Ste 344, Birmingham, AL 35216-4900 | 2016-03-02 |
| 1477926657 | Alabama Specialty Rx LLC | Pharmacy | 2728 10th Ave S Ste 340, Birmingham, AL 35205-1202 | 2015-11-10 |
| 1225466378 | Recept Pharmacy, Lp | Pharmacy | 216 Aquarius Drive, Suite 322, Birmingham, AL 35209 | 2013-10-29 |
| 1891122834 | One Source Rx, LLC | Pharmacy | 3008 Clairmont Ave S Ste 100, Birmingham, AL 35205-1113 | 2013-10-05 |
| 1851631998 | Life Watch Pharmacy, LLC | Pharmacy | 211 Summit Parkway, # 118, Birmingham, AL 35209 | 2013-02-27 |
| 1902167745 | Srx Pharmacy Services, Inc. | Pharmacy | 2705 4th Ave S, Birmingham, AL 35233-2707 | 2012-06-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35207 |
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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.