NPIMap

Organization Active NPI

Vaccination Services of Alabama, LLC

  • Registered Nurse
  • Opelika, AL
National Provider Identifier
1033449376
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1086070 Issued in AL
Legal business name
VACCINATION SERVICES OF ALABAMA, LLC
Practice address
804 Hillflo Ave
Opelika, AL 36801-2206
Phone
(334) 319-3279
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mr. Gary A Wood, CRNANPI 1295911220
Title
Owner
Phone
(334) 319-3279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 1086070 AL Primary

Addresses

Primary practice location

804 Hillflo Ave
Opelika, AL 36801-2206

Mailing address

804 Hillflo Ave
Opelika, AL 36801-2206
Phone (334) 319-3279

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1033449376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HILLFLO AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368012206",
            "telephone_number": "334-319-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HILLFLO AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368012206",
            "telephone_number": "334-319-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCINATION SERVICES OF ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-319-3279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1086070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.