Physician RX Source

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113428 Issued in AL

Legal business name

PHYSICIAN RX SOURCE

Practice address

118 W Market St
Athens, AL 35611-2556

Phone

(256) 216-1514

Fax

(256) 216-1831

NPI assigned

Sep 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily Williamson

Title

Owner RPH

Phone

(256) 216-1514

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physician Rx Source Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1003125832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112556",
            "telephone_number": "256-216-1514",
            "fax_number": "256-216-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112556",
            "telephone_number": "256-216-1514",
            "fax_number": "256-216-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN RX SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER RPH",
        "authorized_official_telephone_number": "256-216-1514"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0136778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Rx Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylie Pennington, LPC, CCMHC
• Pharmacy Care Associates
• Joada Philippe, MD
• Alyssa Mae Phillips, CRNP
• Amanda Qualls Phillips
• Timothy Harold Pierce
• Savannah Pointer, CRNP
• Ashley Bailey Pool, CRNP
• Taylor Pool, DO
• Christie Porter, RN

• Community/Retail Pharmacy in Athens, AL
• Providers in Athens, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.