Organization Active NPI

Jann's Pharmacy, Inc.

Doing business as Jann's Pharmacy

  • Community/Retail Pharmacy
  • Tuscaloosa, AL
National Provider Identifier
1063812337
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10242 Issued in AL
Legal business name
JANN'S PHARMACY, INC.
Doing business as
Jann's Pharmacy
Patient Care Pharmacy
Practice address
1825 McFarland Blvd N
Suite 200
Tuscaloosa, AL 35406-2251
Phone
(205) 752-2045
Fax
(205) 752-2546
NPI assigned
Aug 24, 2014
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Jann Sides, RPHNPI 1063735249
Title
Owner/Pic
Phone
(205) 752-2045

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Community/Retail Pharmacy 3336C0003X 10242 AL Primary

Addresses

Primary practice location

1825 McFarland Blvd N
Suite 200
Tuscaloosa, AL 35406-2251

Mailing address

PO Box 1487
Northport, AL 35476-6487
Phone (205) 752-2045

Other names 2

  • Jann's Pharmacy Doing business as
  • Patient Care Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jannspharmacy@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731016497 AL Part B Supplier - Mass Immunization (Roster Biller Only) 4981918182 Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

1825 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 752-1650

1825 McFarland Blvd N
Ste 200
Tuscaloosa, AL 35406
Phone (205) 752-2045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1063812337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1487",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354766487",
            "telephone_number": "205-752-2045",
            "fax_number": "205-752-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MCFARLAND BLVD N",
            "address_2": "SUITE 200",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062251",
            "telephone_number": "205-752-2045",
            "fax_number": "205-752-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANN'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-24",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "SIDES",
        "authorized_official_first_name": "JANN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "205-752-2045",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "10242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jannspharmacy@gmail.com",
            "affiliation": "N",
            "address_1": "1825 McFarland Blvd N",
            "address_2": "Suite 200",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354062251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jann's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patient Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.