Organization Active NPI

Hackleburg Pharmacy Inc

  • Community/Retail Pharmacy
  • Hackleburg, AL
National Provider Identifier
1083972202
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113891 Issued in AL
Legal business name
HACKLEBURG PHARMACY INC
Practice address
34863 US Highway 43
Hackleburg, AL 35564-4281
Phone
(205) 935-3392
Fax
(205) 935-3393
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Vincent Hughes
Title
Pharmacist/Owner
Phone
(205) 935-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 113891 AL Primary

Addresses

Primary practice location

34863 US Highway 43
Hackleburg, AL 35564-4281

Mailing address

PO Box 167
Hackleburg, AL 35564-0167
Phone (205) 935-3392

Other identifiers 1

IdentifierTypeStateIssuer
0137770OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Hackleburg Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

34863 US Highway 43
Hackleburg, AL 35564
Phone (205) 516-4659

34862 US Hwy 43
Hackleburg, AL 35564
Phone (205) 935-3392

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1083972202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "HACKLEBURG",
            "state": "AL",
            "postal_code": "355640167",
            "telephone_number": "205-935-3392",
            "fax_number": "205-935-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34863 US HIGHWAY 43",
            "city": "HACKLEBURG",
            "state": "AL",
            "postal_code": "355644281",
            "telephone_number": "205-935-3392",
            "fax_number": "205-935-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "205-935-3392"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0137770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackleburg Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackleburg, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.