BRENNCORP INC (NPI# 1881768307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881768307 |
| Entity Type | Organization |
| Organization Name | BRENNCORP INC |
| Other Organization Name | MIDTOWN PHARMACY |
| Practice Address |
2152 Airport Blvd Mobile AL 36606-1756 |
| Practice Telephone | 2514792424 |
| Practice Fax Number | 2514795234 |
| Mailing Telephone | 2514792424 |
| Mailing Fax Number | 2514795234 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-08-23 |
| Authorized Official Name | MARSHALL WATERS (PRES) |
| Authorized Official Telephone | 2517392424 |
| 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 |
109668 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0119366 | 01 | |
| AL | 100002231 | 05 |
| Other Name | Type Code |
|---|---|
| MIDTOWN PHARMACY | Doing Business As Name - Organization |
| Street Address |
2152 AIRPORT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518970664 | David J Borcicky PC | Podiatrist | 2152 Airport Blvd, Suite 106, Mobile, AL 36606-1751 | 2006-08-13 |
| 1790850139 | David John Borcicky | Podiatrist | 2152 Airport Blvd, Suite 106, Mobile, AL 36606-1751 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| 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 |
|---|---|---|---|---|
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1184078024 | Gulf Coast Dermatology & Skin Care Centre Pllc | Pharmacy | 580 Providence Park Dr E Ste 202, Suite 202, Mobile, AL 36695-4614 | 2016-04-18 |
| 1801290523 | Clinic Pharmacy, Inc | Pharmacy | 1359 Spring Hill Ave Ste B, Mobile, AL 36604-3210 | 2014-10-09 |
| 1912323544 | Rx Express Pharmacy of Tillman's Corner, Inc. | Pharmacy | 5638 Three Notch Rd, Mobile, AL 36619-1724 | 2014-03-06 |
| 1265668289 | Professional Pharmacy, Inc | Pharmacy | 4415 Old Shell Rd, Mobile, AL 36608-1911 | 2009-06-04 |
| 1275768772 | Southern Family Markets LLC | Pharmacy | 306 S University Blvd, Mobile, AL 36609-2909 | 2009-05-28 |
| 1144415720 | Walgreen Co | Pharmacy | 6395 Airport Blvd, Mobile, AL 36608-3131 | 2007-09-07 |
| 1376619205 | Deuel Drug Store Inc | Pharmacy | 2710 Springhill Ave, Mobile, AL 36607-2918 | 2006-11-24 |
| 1427152305 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 7081 Airport Blvd, Mobile, AL 36608-3712 | 2006-09-12 |
| 1245334127 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 900 Government St, Mobile, AL 36604-2402 | 2006-09-12 |
| Find all providers in MOBILE | ||||
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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.