Active NPI
Jann's Pharmacy, Inc.
Doing business as Jann's Pharmacy
- Community/Retail Pharmacy
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10242
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jann Sides, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Patient Care Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jannspharmacy@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150731016497 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981918182 | Practice locations: Tuscaloosa, AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Northport, AL
- NPI 1063735249
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.