Organization Active NPI

Monrovia Pharmacy LLC

  • Community/Retail Pharmacy
  • Huntsville, AL
National Provider Identifier
1093029530
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113412 Issued in AL
Legal business name
MONROVIA PHARMACY LLC
Doing business as
Monrovia Pharmacy, LLC
Practice address
1878 Jeff Rd NW Ste D
Huntsville, AL 35806-4261
Phone
(256) 489-7626
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Michael Dooley
Title
Owner
Phone
(850) 585-9200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 113412 AL Primary
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

1878 Jeff Rd NW Ste D
Huntsville, AL 35806-4261

Mailing address

1878 Jeff Rd NW
Suite D
Huntsville, AL 35806-4260
Phone (256) 489-7626

Other identifiers 1

IdentifierTypeStateIssuer
0136730OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Monrovia Pharmacy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1878 Jeff Rd NW
Ste D
Huntsville, AL 35806
Phone (256) 489-7626

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1093029530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 JEFF RD NW",
            "address_2": "SUITE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064260",
            "telephone_number": "256-489-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 JEFF RD NW STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064261",
            "telephone_number": "256-489-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROVIA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-585-9200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113412",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0136730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monrovia Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.