Hydration Bar LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HYDRATION BAR LLC

Doing business as

Primary Hydration

Practice address

1214 Main St Ste a
Gardendale, AL 35071-2494

Phone

(205) 285-3766

Fax

(205) 270-4989

NPI assigned

Sep 20, 2021

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sakeena Rena Spencer, NPNPI 1861944233

Title

Owner

Phone

(205) 215-7926

Specialties & licenses 1

Addresses

Other names 1

• Primary Hydration Doing business as

Locations

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.

• Sakeena Spencer, NP

  • Family Nurse Practitioner
  • Fultondale, AL
  • NPI 1861944233
  Authorized official Same address or phone

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1083384127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W PARK DR",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350686075",
            "telephone_number": "205-215-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 MAIN ST STE A",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712494",
            "telephone_number": "205-285-3766",
            "fax_number": "205-270-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRATION BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SAKEENA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-215-7926",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Hydration",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Hydration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jun Huang, PHARMD
• Alexandra Savannah Hubbard
• Nolan Leonard Hudson, M.D.
• Kayla Jo Hunt
• Ryan Huynh, RBT
• Independent Medical Equipment
• Samantha Lauren Ingle
• J & J Drugs Corp (J and J Drug Inc)
• J & J Drugs Corp (J&J Drugs Inc)
• Terri L Jackson, LCSW

• Clinic/Center in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.