ALABAMA CVS PHARMACY LLC (NPI# 1821282955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821282955 |
| Entity Type | Organization |
| Organization Name | ALABAMA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17172 |
| Practice Address |
1235 Point Mallard Pkwy Se Decatur AL 35601-6531 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2568983034 |
| Practice Fax Number | 2568983034 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
112997 | AL | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1996169 | 01 | |
| AL | 100040201 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17172 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003388067 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4645 Airport Blvd, Mobile, AL 36608-2222 | 2018-12-31 |
| 1093193187 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24 Saraland Blvd N, Saraland, AL 36571-2408 | 2015-05-11 |
| 1851711386 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Cherokee Ave Sw, Cullman, AL 35055-5502 | 2014-04-23 |
| 1063842532 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 850 Boll Weevil Cir, Enterprise, AL 36330-2080 | 2013-11-20 |
| 1114364007 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 333 S College St, Auburn, AL 36830-7431 | 2013-05-31 |
| 1265775373 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 825 Quintard Dr, Oxford, AL 36203-1803 | 2013-03-27 |
| 1609114271 | Alabama Cvs Pharmacy LLC | Pharmacy | 531 Brookwood Vlg, Homewood, AL 35209-4501 | 2013-01-16 |
| 1699034389 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11030 S Memorial Pkwy, Huntsville, AL 35803-2120 | 2012-05-15 |
| 1457512709 | Alabama Cvs Pharmacy LLC | Pharmacy | 4889 Promenade Pkwy, Bessemer, AL 35022-7305 | 2008-06-19 |
| 1811155427 | Alabama Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8370 Hwy 31, Calera, AL 35040 | 2008-05-30 |
| Street Address |
1235 POINT MALLARD PKWY SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157974 | Joseph Moon | Pharmacist | 1235 Point Mallard Pkwy Se, Decatur, AL 35601-6531 | 2020-09-02 |
| 1306191739 | Daniel Edward Allison | Pharmacist | 1235 Point Mallard Pkwy Se, Decatur, AL 35601-6531 | 2012-07-23 |
| 1003101643 | Alyson Dunlap Ellis | Pharmacist | 1235 Point Mallard Pkwy Se, T-2084, Decatur, AL 35601-6531 | 2011-06-11 |
| 1376837294 | Savannah Gates | Pharmacist | 1235 Point Mallard Pkwy Se, T-2084, Decatur, AL 35601-6531 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1699372771 | The Medicine Shoppe | Pharmacy | 2006 Danville Rd Sw Ste C, Decatur, AL 35601-4640 | 2020-10-02 |
| 1760990246 | 2136 Total Pharmacy LLC | Pharmacy | 2136 Candler Rd, Decatur, GA 30032-5572 | 2018-01-18 |
| 1336527217 | Med Rx Pharmacy Inc | Pharmacy | 4153 Flat Shoals Pkwy Ste 106, Decatur, GA 30034-4106 | 2015-05-12 |
| 1093108805 | Solaris Pharmacy | Pharmacy | 1308 E Old Chico Rd, Decatur, TX 76234-3405 | 2015-03-18 |
| 1306243605 | Rxmtm Consultants LLC | Pharmacy | 3164 Glenwood Rd, Decatur, GA 30032-4155 | 2014-12-02 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1528495660 | National Prescription | Pharmacy | 2107 N Decatur Rd Ste 190, Decatur, GA 30033-5305 | 2013-10-03 |
| 1760723878 | Gfpi L.L.C. - Guice Pharmacy | Pharmacy | 1416 6th Ave Se Unit D, Decatur, AL 35601-4247 | 2013-03-14 |
| 1851666069 | Sondial Pharmacy, LLC | Pharmacy | 1428 Scott Blvd Ste C, Decatur, GA 30030-1424 | 2012-03-21 |
| 1295045573 | Genoa Healthcare, LLC | Pharmacy | 151 N Main St Rm 332, Decatur, IL 62523-1206 | 2010-10-20 |
| Find all providers in DECATUR | ||||
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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.