SHADY ACRES INC (NPI# 1881737526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881737526 |
| Entity Type | Organization |
| Organization Name | SHADY ACRES INC |
| Other Organization Name | IV STAT INC |
| Practice Address |
302 Prairie St N Suite 3b Union Springs AL 36089-1417 |
| Mailing Address |
Po Box 432 Union Springs AL 36089-0432 |
| Practice Telephone | 3347382022 |
| Mailing Telephone | 3347382022 |
| Mailing Fax Number | 3347388050 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | BENJAMIN G MAIN SR. (MGR) |
| Authorized Official Telephone | 3347502103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
105493 | AL | Suppliers |
| Other Name | Type Code |
|---|---|
| IV STAT INC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SHADY ACRES INC | 4794 N. 600 E., Fowler, IN 47944 |
| Street Address |
302 PRAIRIE ST N SUITE 3B |
| City | UNION SPRINGS |
| State | AL |
| Zip Code | 36089-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881682151 | Thomas Allen Main | Pharmacist | 302 Prairie St N, Union Springs, AL 36089-1417 | 2005-10-11 |
| 1104198704 | Hnh Immunizations Inc | Exclusive Provider Organization | 302 Prairie St N, Union Springs, AL 36089-1417 | 2012-01-30 |
| 1609188135 | Julia Main | Pharmacist | 302 Prairie St N, Union Springs, AL 36089-1417 | 2010-07-13 |
| 1740323492 | Usa Healthcare Partners LLC | Pharmacy | 302 Prairie St N, Suite D, Union Springs, AL 36089-1417 | 2007-02-14 |
| 1659369825 | Main Drug Inc | Pharmacy | 302 Prairie St N, Union Springs, AL 36089-1417 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295259828 | Lavell Edward Brooks Sr. | Technician/Technologist | 234 N Prairie Street, Union Springs, AL 36089 | 2017-07-25 |
| 1740736941 | Allen Tolbert | Technician/Technologist | 304 N Prairie St, Union Springs, AL 36089 | 2016-08-28 |
| 1548500713 | Hnh Immunizations Inc | Preventive Medicine | 326 North Prairie Street, Union Springs, AL 36089 | 2013-02-25 |
| 1649542416 | Hnh Immunizations Inc | Exclusive Provider Organization | 326 Prairie Street North, Union Springs, AL 36089 | 2012-02-08 |
| 1407168289 | Maria Linda Gonzalez | Physician Assistant | 299 Praire Street, Union Springs, AL 36089 | 2010-07-08 |
| 1033216023 | Union Springs Pharmacy Inc | Pharmacy | 204 Prairie Street North, Union Springs, AL 36089 | 2006-09-20 |
| 1770768533 | Hope for Families and Community Services, Inc. | Counselor | 510 Mimosa Avenue, Union Springs, AL 36089-0510 | 2007-12-28 |
| 1154366276 | Rural Community Services, Inc | Ambulance | 1431 Conecuh Ave E, Union Springs, AL 36089-1116 | 2006-06-20 |
| 1093236762 | Fresenius Kidney Care Union Springs, LLC | Clinic/Center | 112 Conecuh Ave W, Union Springs, AL 36089-1303 | 2017-07-03 |
| 1336433556 | Physicians Choice Dialysis of Union Springs LLC | Clinic/Center | 112 Conecuh West Avenue, Union Springs, AL 36089-1303 | 2011-06-06 |
| Find all providers in zip 36089 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1659369825 | Main Drug Inc | Pharmacy | 302 Prairie St N, Union Springs, AL 36089-1417 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024947 | Remedi Seniorcare of Alabama, LLC | Pharmacy | 4908 Moores Mill Rd Unit A, Huntsville, AL 35811-1512 | 2019-10-09 |
| 1821646894 | Senior Care Pharmacy Inc | Pharmacy | 101b Villa Dr Ste B-260, Daphne, AL 36526-4653 | 2019-09-03 |
| 1477027720 | Oms Pharmacy, Inc. | Pharmacy | 1800 Mcfarland Blvd E Ste 334, Tuscaloosa, AL 35404-5882 | 2019-01-18 |
| 1225418403 | Genoa Healthcare, LLC | Pharmacy | 425 5th Ave Nw Rm 92, Attalla, AL 35954-2214 | 2015-06-03 |
| 1235519414 | Genoa Healthcare, LLC | Pharmacy | 2201 Arlington Ave Ste B, Bessemer, AL 35020-4221 | 2015-06-03 |
| 1003296286 | Genoa Healthcare, LLC | Pharmacy | 2520 Fairlane Dr Ste 300, Montgomery, AL 36116-1653 | 2015-06-03 |
| 1902220932 | Medchoice Pharmacy Services, LLC | Pharmacy | 1 Southern Way, Mobile, AL 36619-1210 | 2014-02-11 |
| 1063846673 | Pharmacy Services of Mobile LLC | Pharmacy | 747 Lakeside Dr, Mobile, AL 36693-5113 | 2013-08-30 |
| 1114359817 | Integracare Pharmacy Inc. | Pharmacy | 199 Corporate Woods Dr, Alabaster, AL 35007-4844 | 2013-08-05 |
| 1649619222 | Caredirect Rx of Jackson, LLC | Pharmacy | 112 Celtic Dr Ste 200a, Madison, AL 35758-1800 | 2013-06-18 |
| Find all providers with the same taxonomy | ||||
| City | UNION SPRINGS |
| Zip Code | 36089 |
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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.