Deans Long Term Care Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

112507 Issued in AL

Legal business name

DEANS LONG TERM CARE PHARMACY LLC

Doing business as

Deans Long Term Care Pharmacy LLC

Practice address

697 Cedar Bluff Rd
Centre, AL 35960-1631

Phone

(256) 927-5574

Fax

(256) 927-5576

NPI assigned

Nov 9, 2006

Last updated

Jan 11, 2013By 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

Robert Bishop, RPH

Title

Managing Member

Phone

(256) 927-5574

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DEANS LONG TERM CARE PHARMACY LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1053481655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "256-927-5574",
            "fax_number": "256-927-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 CEDAR BLUFF RD",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601631",
            "telephone_number": "256-927-5574",
            "fax_number": "256-927-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANS LONG TERM CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "256-927-5574",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "112507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0132629",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003606",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEANS LONG TERM CARE PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paris Cooke, MD
• Lauren Coursey, CRNP
• Sharonda Coutch
• Kelly Marie Cox, D.C.
• Deans Drugs Inc.
• Kathy Decant, FNP-C
• Thomas Jackson Dempsey IV, MD
• DME Services LLC
• Benjamin Chas Dowdey, MD
• Drayer Physical Therapy-Alabama, LLC

• Long Term Care Pharmacy in Centre, AL
• Providers in Centre, AL by specialty
• Long Term Care Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.