Tara Pharmacy SE LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

112737 Issued in AL

Legal business name

TARA PHARMACY SE LLC

Practice address

211 Summit Pkwy
Suite 112
Homewood, AL 35209-4751

Phone

(205) 916-2267

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

James R Cox II, PHARM D

Title

Vice President

Phone

(601) 664-1664

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

Tara Pharmacy SE 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.

• Tara Pharmacy SE, LLC

  • Geriatric Pharmacist
  • Homewood, AL
  • NPI 1063549368
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cindy Dent, RPH

  • Pharmacist
  • Homewood, AL
  • NPI 1770753949
  NPD (past)
• Michael Thomas Walden, R.PH.

  • Pharmacotherapy Pharmacist
  • Homewood, AL
  • NPI 1609847540
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1073696365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SUMMIT PKWY",
            "address_2": "SUITE 112",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094751",
            "telephone_number": "205-916-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUMMIT PKWY",
            "address_2": "SUITE 112",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094751",
            "telephone_number": "205-916-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA PHARMACY SE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "601-664-1664",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "112737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "0133493",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003676",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lemar Storey
• Andrew Marshall Strang, MD
• Alyssa Jewel Suddith
• Superspine Chiropractic, L.L.C.
• Patsy N. Swanson, RPH
• Tara Pharmacy SE, LLC
• Angel Jamesha Terrell, N/A
• David Lawrence Tharpe, MD
• Ghulam Hussain Thaver, MD
• The Muscle Joint, LLC

• Long Term Care Pharmacy in Homewood, AL
• Providers in Homewood, 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 Feb 25, 2022; 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.