PA Funding LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PA FUNDING LLC

Practice address

1510 Gunbarrel Rd Ste 500
Chattanooga, TN 37421-7175

Phone

(423) 888-9568

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Maria MendiolaNPI 1497232979

Title

Manager

Phone

(423) 888-9568

Specialties & licenses 1

Addresses

Other names 1

• Alphacare Specialty Pharmacy Doing business as

Tax ID family

Alphacare Specialty Pharmacy2 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.

• PA Funding LLC

  • Pharmacy
  • Chattanooga, TN
  • NPI 1619679487
  NPD tax ID

Practitioners 1

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

• Maria Fidela Mendiola, OTR/L

  • Occupational Therapist
  • Fort Oglethorpe, GA
  • NPI 1497232979
  NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1083315873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 GUNBARREL RD STE 500",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 GUNBARREL RD STE 500",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217175",
            "telephone_number": "423-888-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA FUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-888-9568"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alphacare Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Nichols Ozbek, PHD
• Brianna Mullins Ozburn, PT, DPT
• John Ozburn
• P.M. Pediatrics, LLC
• P.S. Nails and Etc
• PA Funding LLC
• Pace Health Services, Inc.
• Pace Health Services, Inc.
• Hillary Pace
• Tony Padalino, LMT

• All providers in Chattanooga, TN
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.