Bubbas Medicine Shop Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BUBBAS MEDICINE SHOP INC

Practice address

512 2ND Ave
Opelika, AL 36801-4316

Phone

(334) 749-3426

Fax

(334) 742-0757

NPI assigned

Jul 23, 2007

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

BUBBAS MEDICINE SHOP INCAs reported in NPPES

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

Authorized official

Name

William Maury Young

Title

President

Phone

(334) 749-3426

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Bubbas Medicine Shop

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1033319579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 2ND AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014316",
            "telephone_number": "334-749-3426",
            "fax_number": "334-742-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 2ND AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014316",
            "telephone_number": "334-749-3426",
            "fax_number": "334-742-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUBBAS MEDICINE SHOP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUBBAS MEDICINE SHOP INC",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MAURY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-749-3426"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51525636",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Gilman Brooks, DC
• Devon Norton Brown, OTR/L
• Kayla Bratcher Brown
• Courtney Bruce, CRNP
• Bubba's Pharmaceutical Care, Inc
• Alexander Steven Burch
• Lucy Burch, CRNP
• Roger C. Burnett
• Mark Bryant Burroughs, DO
• Shekinah Ann Burt

• Durable Medical Equipment & Medical Supplies in Opelika, AL
• Providers in Opelika, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.