CLEBURNE PHARMACY LLC (NPI# 1649203365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649203365 |
| Entity Type | Organization |
| Organization Name | CLEBURNE PHARMACY LLC |
| Other Organization Name | CLEBURNE PHARMACY |
| Practice Address |
875 Ross St Heflin AL 36264-1131 |
| Practice Telephone | 2564632197 |
| Practice Fax Number | 2564632306 |
| Mailing Telephone | 2564632197 |
| Mailing Fax Number | 2564632306 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | FRANK TANT (OWNER/PIC/AO) |
| Authorized Official Telephone | 2564632197 |
| Authorized Official Credential | RPH |
| 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 |
102545 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100000653 | 05 | |
| PK | 2157998 | 01 |
| Other Name | Type Code |
|---|---|
| Cleburne Pharmacy | Doing Business As Name - Organization |
| Street Address |
875 ROSS ST |
| City | HEFLIN |
| State | AL |
| Zip Code | 36264-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528327681 | Frank B Tant | Pharmacist | 875 Ross St, Heflin, AL 36264-1131 | 2012-05-10 |
| 1558374967 | Will David Jacks II | Pharmacist | 875 Ross St, Heflin, AL 36264-1131 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397940 | Cheaha Area Regional Emergency Specialist | Family Medicine | 1219 Almon St, Suite C, Heflin, AL 36264 | 2017-10-16 |
| 1023394574 | Mt Cheaha Dental PC | Dentist | 386 Ross St, Heflin, AL 36264 | 2011-10-28 |
| 1528690666 | Holley Fenn | Counselor | 29 Owen Cir Unit A2, Heflin, AL 36264-1119 | 2020-02-06 |
| 1912036914 | Lloyds Group Inc | Family Medicine | 938 Ross St, Heflin, AL 36264-1134 | 2007-03-05 |
| 1972859429 | Donna Lynn Hubbard | Nurse Practitioner | 938 Ross St, Heflin, AL 36264-1134 | 2012-08-01 |
| 1134180581 | Durable Medical Equipment, Inc | Prosthetic/Orthotic Supplier | 978 Ross St, Heflin, AL 36264-1164 | 2006-03-28 |
| 1538138490 | Family Pharmacy, Inc | Pharmacy | 960 Ross St, Heflin, AL 36264-1164 | 2006-03-14 |
| 1194292060 | Ryan Jackson | Pharmacist | 960 Ross St, Heflin, AL 36264-1164 | 2018-10-30 |
| 1124144357 | Wright Pharmacy | Durable Medical Equipment & Medical Supplies | 960 Ross St, Heflin, AL 36264-1164 | 2007-03-21 |
| 1699764035 | Cleburne Chiropractic Center | Chiropractor | 959 Ross St, Heflin, AL 36264-1165 | 2005-10-18 |
| Find all providers in zip 36264 | ||||
| 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 |
|---|---|---|---|---|
| 1538138490 | Family Pharmacy, Inc | Pharmacy | 960 Ross St, Heflin, AL 36264-1164 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1104448067 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 201 Governors Dr Sw Ste 305, Huntsville, AL 35801-5170 | 2020-05-14 |
| 1609401678 | Pharmacy Investment Coordinators Inc | Pharmacy | 1301 Andrews Ave, Ozark, AL 36360-3717 | 2020-03-10 |
| 1861025520 | Monroe County Health Care Authority | Pharmacy | 2016 S Alabama Ave Ste D, Monroeville, AL 36460-3044 | 2020-02-20 |
| 1982235230 | Shiftrx Uab Mw, LLC | Pharmacy | 985 9th Ave Sw Ste 100, Bessemer, AL 35022-7810 | 2020-01-27 |
| 1316577943 | Gulf Health Management Services Inc | Pharmacy | 95 Shell St Ste 110, Saraland, AL 36571-2202 | 2020-01-23 |
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CLEBURNE PHARMACY LLC.
| 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.