MONTGOMERY AIDS OUTREACH INC (NPI# 1679004436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679004436 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY AIDS OUTREACH INC |
| Other Organization Name | MEDICAL ADVOCACY AND OUTREACH- COPELAND CARE PHARMACY |
| Practice Address |
2900 Mcgehee Rd Montgomery AL 36111-2151 |
| Mailing Address |
Po Box 11087 Montgomery AL 36111-0087 |
| Practice Telephone | 3342399692 |
| Practice Fax Number | 3343562529 |
| Mailing Telephone | 3342803349 |
| Mailing Fax Number | 3342812308 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ASHLEY TARRANT (CHIEF OPERATIONS OFFICER (COO)) |
| Authorized Official Telephone | 3342803349 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
114705 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168269 | 01 | |
| AL | 197966 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Advocacy and Outreach- Copeland Care Pharmacy | Doing Business As Name - Organization |
| Street Address |
2900 MCGEHEE RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36111-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689651408 | Montgomery Aids Outreach, Inc. | Clinic/Center | 2900 Mcgehee Rd, Montgomery, AL 36111 | 2005-12-22 |
| 1194357707 | Mary Frances Felder | Dietitian, Registered | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2020-02-11 |
| 1578027587 | Jennifer G Thompson | Social Worker | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2019-01-23 |
| 1831681071 | Kirstie A Tyson | Counselor | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2018-06-04 |
| 1396276127 | Jawaneka P Ellerson | Nurse Practitioner | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2017-03-23 |
| 1659821874 | Bobby Golden Jr. | Licensed Practical Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| 1417407669 | Alexa Penn | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| 1164972238 | Diane Weil | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| 1023568177 | Cassandra Blakely | Licensed Practical Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| 1306396478 | Kelly Johnston | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
| 1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
| 1659456606 | Jefferson Underwood | Internal Medicine | 2171 Normandie Dr, Montgomery, AL 36111 | 2006-10-26 |
| 1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1669963617 | Dhwani Chotalia | Nurse Practitioner | 2908 Mcgehee Rd, Montgomery, AL 36111 | 2018-05-25 |
| Find all providers in zip 36111 | ||||
| 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 |
|---|---|---|---|---|
| 1447814033 | Triple T Pharmacy LLC | Pharmacy | 461 Cotton Gin Rd Ste B, Montgomery, AL 36117-3558 | 2019-04-29 |
| 1114486800 | Jmjp Investments LLC | Pharmacy | 89 Boulder Hill Pass, Montgomery, IL 60538-1911 | 2019-03-13 |
| 1750853529 | Aim 2016, Inc | Pharmacy | 7212 Halcyon Park Dr, Montgomery, AL 36117-7717 | 2018-12-18 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1124468210 | Montgomery Drug Company Inc. | Pharmacy | 1633 Perry Hill Rd, Montgomery, AL 36106-2729 | 2013-07-03 |
| 1508042086 | Hudson Valley Ltc Pharmacy Inc | Pharmacy | 105 Ward St Ste A, Montgomery, NY 12549-1150 | 2008-01-15 |
| 1851427850 | Walgreen Co | Pharmacy | 2920 Carter Hill Rd, Montgomery, AL 36106-2531 | 2007-02-26 |
| 1659446904 | Montgomery Drug Company Inc | Pharmacy | 37 Mitchell Dr, Montgomery, AL 36109-2923 | 2006-11-22 |
| 1477624070 | Vel LLC | Pharmacy | 8189 Vaughn Rd, Montgomery, AL 36116-6705 | 2006-11-13 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36111 |
Please comment or provide details below to improve the information on MONTGOMERY AIDS OUTREACH INC.
| 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.