Organization Active NPI

Borden Company LLC

Doing business as Borden Family Pharmacy

  • Community/Retail Pharmacy
  • Cullman, AL
National Provider Identifier
1073511465
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111583 Issued in AL
Legal business name
BORDEN COMPANY LLC
Doing business as
Borden Family Pharmacy
Practice address
3190 Al Highway 157
Cullman, AL 35058-0686
Phone
(256) 734-7535
Fax
(256) 734-1056
NPI assigned
Jul 11, 2005
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Christopher N. Borden, PHARMDNPI 1336410463
Title
Owner/Pic
Phone
(256) 734-7535

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 111583 AL Primary

Addresses

Primary practice location

3190 Al Highway 157
Cullman, AL 35058-0686

Mailing address

3190 Al Highway 157
Cullman, AL 35058-0686
Phone (256) 734-7535

Other identifiers 4

IdentifierTypeStateIssuer
0126676OtherNCPDP PROVIDER IDENTIFICATION NUMBER
009927880MedicaidAL
100003075MedicaidAL
051552665OtherMEDICARE IMMUNIZER

Other names 1

  • BORDEN FAMILY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930053630 AL DME Supplier - PharmacyDME Supplier - Pedorthic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 5294856571 Practice locations: Cullman, AL
O20110209000756 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5294856571 Practice locations: Cullman, AL
O20210107001866 AL Part B Supplier - Independent Clinical Laboratory 5294856571 Practice locations: Cullman, AL

National Provider Directory

National Provider Directory
Tax ID family
Borden Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3190 AL Highway 157
Cullman, AL 35058
Phone (256) 734-7535

Practitioners & affiliated clinicians

Practitioners 3

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": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1073511465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580686",
            "telephone_number": "256-734-7535",
            "fax_number": "256-734-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580686",
            "telephone_number": "256-734-7535",
            "fax_number": "256-734-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDEN COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "256-734-7535",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0126676",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009927880",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003075",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IMMUNIZER",
            "identifier": "051552665",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BORDEN FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BORDEN FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.