Carrollton Prescription Shop Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

109667 Issued in AL

Legal business name

CARROLLTON PRESCRIPTION SHOP INC

Doing business as

The Prescription Shop

Practice address

41254 Highway 195 Ste G
Haleyville, AL 35565-8115

Phone

(205) 494-7150

Fax

(205) 485-1130

NPI assigned

Jul 30, 2006

Last updated

Dec 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff South

Title

Manager

Phone

(205) 494-7150

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Prescription Shop Doing business as

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1003821612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41254 HIGHWAY 195",
            "address_2": "SUITE G",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355658114",
            "telephone_number": "205-494-7150",
            "fax_number": "205-485-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41254 HIGHWAY 195 STE G",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355658115",
            "telephone_number": "205-494-7150",
            "fax_number": "205-485-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "SOUTH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-494-7150"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "109667",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001842",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prescription Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muris Ray Boshell Jr., D.C.
• Boyde J Harrison MD PC
• David Michael Britton, O.D.
• Nikki Lashelle Burleson, CRNP
• Leah Mitchell Butler, R.PH
• Christopher D. Borden, DMD PC
• Allison Clark, CRNP
• Heather Colburn, DPT
• Compounding Centers of America
• Compounding Centers of America (Cca)

• Pharmacy in Haleyville, AL
• Providers in Haleyville, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.