Pell City Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113272 Issued in AL

Legal business name

PELL CITY PHARMACY INC

Practice address

1027 Martin St S
Pell City, AL 35128-2360

Phone

(205) 338-6080

Fax

(205) 338-6082

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Tucker MaloneNPI 1417545914

Title

Pharmacist/Owner

Phone

(334) 444-0376

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pell City Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• Tucker Lee Malone, PHARMD

  • Pharmacist
  • Pell City, AL
  • NPI 1417545914
  NPD Authorized official
• Lynda H Rush, RPH

  • Pharmacist
  • Moody, AL
  • NPI 1669075099
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1073748877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MARTIN ST S",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282360",
            "telephone_number": "205-338-6080",
            "fax_number": "205-338-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MARTIN ST S",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282360",
            "telephone_number": "205-338-6080",
            "fax_number": "205-338-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELL CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "TUCKER",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "334-444-0376"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073748877",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pell City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Dental Associates, LLC
• Pell City
• Pell City Dental Center, P.C.
• Pell City Internal Medicine LLC
• Pell City Orthodontics LLC
• Pell City Prosthetic Services
• Pell City Urgent Care and Family Medicine
• Kaylee Phillips, COTA
• Physiotherapy Associates
• Kaitlyn Traywick Pierce

• Community/Retail Pharmacy in Pell City, AL
• Providers in Pell City, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.