NPIMap

Organization Active NPI

Dura-Med Southeast, Inc.

Doing business as Flomaton Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Flomaton, AL
National Provider Identifier
1053531145
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
748 Issued in AL
Legal business name
DURA-MED SOUTHEAST, INC.
Doing business as
Flomaton Pharmacy
Practice address
174 Hwy 113
Flomaton, AL 36441
Phone
(251) 296-4224
Fax
(251) 296-4226
NPI assigned
Apr 30, 2007
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Jack Floyd
Title
President
Phone
(850) 675-2448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 748 AL Primary

Addresses

Primary practice location

174 Hwy 113
Flomaton, AL 36441

Mailing address

PO Box 1018
Flomaton, AL 36441-1018
Phone (251) 296-4224

Other identifiers 2

IdentifierTypeStateIssuer
031884101MedicaidFL
009935181MedicaidAL

Other names 1

  • Flomaton Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1053531145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364411018",
            "telephone_number": "251-296-4224",
            "fax_number": "251-296-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HWY 113",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "36441",
            "telephone_number": "251-296-4224",
            "fax_number": "251-296-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURA-MED SOUTHEAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-675-2448"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031884101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935181",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flomaton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flomaton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.